Cross-Register Agreement Request

Submit the information required to begin a NYSAHA cross-registration agreement.

Loading current season…

Important: Submission of this request does not authorize player movement or participation with a secondary association. Electronic signature documents must be completed by all required parties before the cross-registration agreement is considered executed.

Loading the NYSAHA association directory…

Requestor Information

Person submitting this request.

Full Name *

Email Address *

Phone Number *

Association *

Player Information

Player Full Name *

Enter the player's name as registered with USA Hockey.

Date of Birth *

USA Hockey Confirmation Number *

Primary Association

The player's primary registered association.

Primary Association *

Association President *

Head Coach Name *

Head Coach Email *

Secondary Association

The association with which the player is requesting secondary participation.

Secondary Association *

Association President *

Head Coach Name *

Head Coach Email *

Parent / Guardian

Parent / Guardian Name *

Parent / Guardian Email *

Submission is temporarily disabled while the secure submission endpoint is connected.