2024 Team Registration Form - Missouri Inline Hockey Association

MOIHA

MOIHA

Fort Zumwalt East

Fort Zumwalt East

Fort Zumwalt North

Fort Zumwalt North

Fort Zumwalt North

Fort Zumwalt South

Fort Zumwalt South

Fort Zumwalt South

Fort Zumwalt South

Fort Zumwalt West

Fort Zumwalt West

Fort Zumwalt West

Francis Howell Central

Francis Howell Central

Francis Howell Central

Rockwood Summit

Rockwood Summit

Rockwood Summit

Rockwood Summit

Rockwood Summit

Rockwood Summit

Rockwood Summit

Rockwood Summit Black

Rockwood Summit Maroon

Team Sapienza All-Stars

Team Ziggy All-Stars

Timberland (Holt)

Waterloo/Freeburg

2024 Team Registration Form

Thank you for registering for the 2024 MOIHA season. High school team fees are $2,700 and junior high team fees are $2,400 per team. All team fees must be paid in full by March 29, 2024.

School Name:

Team Contact Name:

Team Contact Phone:

Team Contact Email:

$500 Non-refundable Deposit

YES

*I understand that a $500 non-refundable deposit per team (cash or check) must be paid at or before the binder check in day on Feb. 20, 2024*

MOIHA personnel will do their best to accommodate teams graduation and prom. With that being said, please use your swing players wisely if for some reason your team(s) are scheduled during these events.

High School Graduation Date:

High School Prom Date:

Goalie Conflicts:

*Please inform us if you have any goalies playing on multiple teams -state "none" if you do not have one*

Payment

Discount

Subtotal

Tax

Total USD