FCHA Learn to Play Registration 2019-20 Question Title * 1. Child's Name (if you have multiple children to register please complete them all in this survey): Question Title * 2. Child's Birthdate Question Title * 3. Is your child male or female? Male Female Question Title * 4. Is this your first year registering with FCHA? Yes No Question Title * 5. Home Address: Question Title * 6. Home Phone Number: Question Title * 7. Cell Phone Number: Question Title * 8. Email Address: Question Title * 9. Which program would you like to register for? FCHA Learn to Skate FCHA Introduction to Hockey FCHA Jr. House League (Ages 7-12) Done