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Fill out our admissions application below to become a WCHA student!

First Name (Parent 1)(Required)

Last Name (Parent 1)(Required)

Email (Parent 1)(Required)

Phone (Parent 1)(Required)

First Name (Parent 2)

Last Name (Parent 2)

Email (Parent 2)

Phone (Parent 2)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student First Name(Required)

Student Last Name(Required)

Student Birth Date(Required)

Choose Your Athletic Program(Required)

2024 School Grade(Required)

Select High School Skate Schedule (if applicable)

Jersey Size

Allergies or Medical Conditions?

Why do you want to join the WCHA?

Height

Weight

Position

Shoots Left/Right

Last Season's Team Name

Last Season's Coach Name

Additional Comments

Emergency Contact Full Name

Relationship

Emergency Contact Email

Emergency Contact Phone

Consent

I certify that I have read and consent to the details of the “RELEASE FOR PARTICIPATION IN EVENT OR ACTIVITY” for my child.