Please fill out form completely before submitting
Registration Information
  • Registration deposit: $50 by May 1st, $100 after May 1st, $150 after June 1st, $150 after July 1st plus a $50 registration charge per player.
  • All B skaters will be evaluated and drafted according to MAHA rules.
  • This form must be dated, signer's name printed and a full signature of parent or guardian in place before the skater will be considered registered.
  • GLAHA accepts Visa, Mastercard, Discover and American Express .
  • Regular payments throughout the summer and fall are encouraged. GLAHA - PO Box 1238, East Lansing MI 48826-1238. Include skater name with the payment.
  • All uncollected fees will be turned over to a collection agency and collection agency fees will assessed to the balance due to GLAHA.
PLEASE NOTE04/27/13 GLAHA registration form has been fixed and is working as expected. We are sorry for any inconvenience this has cause you & your family!
Today's Date4/23/2014 2:22:24 PM
DivisionAll Divisions
Skater's NameLegal Name Is Required - No Nicknames Please
Skater's First Name
Skater's Middle Initial
Skater's Last Name
Address
Apt/Lot #
City
State
Zip
Birthdate
Gender
Phone Number
Contact Information
Parent/Guardian
Work Or Cell Phone
Parent/Guardian
Work Or Cell Phone
E-Mail Addresses90% of communication to members is via e-mail. At least one family e-mail address is required
E-Mail Address
E-Mail Address
PaymentsYou may submit your payment online via Paypal below or

Credit Card Payments may be made using our charge form and mailed to the address below

Checks may be made payable to GLAHA

PO BOX 1238

East Lansing, MI 48826-1238

Please include skater name with the payment

Your registration will not be processed until registration deposit is received

Payment Type