LESSON MEMBERSHIPS

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

communication consent *

Client agrees to being opt-in to communications from Battista Hockey, including email and website. By calling or texting the number 888 942 6224, Clients agree to receive text messages and phone calls. To opt-out or stop receiving mobile communications, text "unsubscribe" to 8889426224.

I agree and opt-in

I do not consent and opt-out of mobile communications

New or Returning to Battista Hockey? *

Player is brand new to battista hockey and hockey lessons with Coach Nick

Player is retunring to Battista Hockey and has previously been a member or received lessons with Coach Nick

player Name *

First Name

Last Name

current level *

Please Select Players Current Level

mites

a

aa

aaa

high school

juniors

college

other

LESSON MEMBERSHIP PLANS *

If you know which lesson plan you would be interested in, please select it below.

BLACK PLAN (semi-private, monthly)

MITE BLACK PLAN (semi-private, monthly

BLUE PLAN (private, 3 months)

YELLOW PLAN (private, 6 months)

Not Sure - Need Consultation

Weekday Availability *

To be eligible for lessons you must be available for a minimum of 3 week days. please select 3 days below

monday

tuesday

wednesday

thursday

friday

terms and conditions *

Client hereby acknowledges that electronic submissions, in compliance with the E-Sign Act, the Pennsylvania Electronic Transactions Act, or other similar statutes, constitute Client’s agreement and intent to be bound by the Battista Hockey, LLC Terms and Conditions of Sale, available: https://www.battistahockey.com/termsandconditions

i agree

Do You Want To Join Our Mailing List? *

yes

no

already subscribed