Fall 2018 Program Details:

Location: TBD
Who: Kindergarten, 1st Graders and 2nd Graders
When: Sunday
Price: $200

The 2018 Fall session will run from September through December.

To register, please fill out the registration form below and continue through to the checkout page. Payment is due upon completion via PayPal.

Protective Equipment

All participants must wear protective equipment. Required equipment includes Sticks, Helmets, Gloves, Shin Pads. It is recommended that all players wear a protective cup.


All fields are required.

Player's Full Name

Parent's Full Name


Phone (Most Reachable Number)

Email Address(Parent)


Jersey Size

Level of Experience:

Emergency Contact Name

Emergency Contact Number

I acknowledge that my son assumes all risk of being injured while participating in the Youth Instructional Hockey LLC League and I agree to hold Aharon Goldwasser and The Moriah School, its officers, directors, employees and representatives harmless from any liability, loss or personal expense arising out of my son’s participation in the League. I recognize that my son is required to wear an athletic supporter as well as all protective equipment required by the Youth Instructional Hockey LLC program. I also permit Youth Instructional Hockey LLC to use images and pictures of my son on digital media, websites, and promotional materials.
I have read and agree to the terms of this application.