Winter Season Registration

Updated as of February 2, 2021

As high school season comes to an end, we are very excited to offer a league that will continue the season for kids playing high school. Existing players can extend their season and new players can sign up for this extended season.

Existing players can also use this form to pay their installments.

Sign-up today as spots are very limited!  If you see SOLD OUT and are still interested, alternate spots may be available and inquire immediately!

Is This An Installment Payment or New Registration *

• Installment Payment - First Winter Season
• HS Playmaker Season - New Player Registration (Feb -April)
• Extension for HS Playmaker Season (Existing Winter Player)

Player Name *

First

Last

Player DOB *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Position *ForwardDefenseGoalie

Fall Club/Level *

HS Attending *

USA Hockey Number (New Players)

Winter HS Team *

• Winter 1 Team - Smyth-Pinkham-Vater
• (New) HS Playermaker - North Shore - Pinkham
• (New )HS Playmaker - Amesbury - Vater
• (New) New Player Assignment Team TBD

Slot *

• Full
• Practice or Alternate

Parent/Guardian Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Name *

First

Last

Parent Email *

Mobile Phone *

Coupon Code (If Applicable)

Choose Applicable Payment Options

• New Player (Essex HS Playmaker Series) - $ 700.00
• 50% Installment (2-Payment Plan - Winter Season 1) - $ 525.00
• 33% Installment #2 (3 Payment Plan - Winter Season 1) - $ 350.00
• 33% Installment #3 (3 Payment Plan - Winter Season 1) - $ 300.00
• Essex HS Playmaker League Extension (Existing Winter Players) - $ 250.00
• Alternate - $ 500.00

Other Amount - Not Listed Above (Pay Via Venmo and Send Amount Owed)

Price: $ 0.00

Total - Tuition and Uniform (if applicable)

$ 0.00

Method of Payment *Select...Venmo (@Dennis-Franczak)Credit Card

Please make your Venmo payment to @Dennis-Franczak and refer to which payment it is in the comments field before you send it.

Credit Card Number *

Card

Name on Card

Submit