NHL Alumni Registration

Download and mail or fax the following PDF Registration form to us:

NHL Alumni Registration Form

Or, fill out the online form below and click submit. We will contact you once your registration has been reviewed.

NHL Alumni Online Registration Form

Personal Information
Last Name: *  
First Name: *  
Nick Name:    
Middle Name:    
Preferred Name:    
Cell:
e.g. 121-555-1234
Email: *
e.g. account@domain.com
Birth Date: *
e.g. DD-MM-YYYY
Birth City: *  
Preferred Charity:  

NHL Career Info
Last Team: *
Position: *
Sweater#: *
Total GP: *
HHOF Member:    Yes
Stanley Cup Winner:    Yes
Years Pro: *
Year Retired: *

Primary Address
Address: *

 
City: *  
Region: *
e.g. State or Province
Country: *  
Zip/Postal Code: *
e.g. Zip / Postal Code
Phone Day: *
e.g. 121-555-1234
Phone Eve:  
e.g. 121-555-1234
Fax:  
e.g. 121-555-1234
 
ALUMNI BUSINESS DIRECTORY:

ScotiaMcLeod




Gavin Management Group




Coldwell Banker Home and Family Realty




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