Apply to host a game • New York Rangers Assist Benefit Alumni Hockey Games

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APPLICATION

TO HOST A GAME

Benefit Hockey Game Application

Please complete & submit the below application to be considered for the program.

Your Contact Information
Name*
First Last
Email*
Phone*
Position with Organization*
i.e. President, Board Member, Parent, etc.
About your Youth Hockey Organization
Are you a registered 501c(3) program?*
- Yes
- No
You must be a registered 501c(3) organization to qualify for this program.
Legal Name of Charity*
Name of team (if different from charity name)*
EIN (Tax ID number)
Address*
Street Address Address Line 2 City State ZIP Code
Program Details
Home Rink
Is your rink publicly or privately owned?*
- Publicly owned
- Privately owned
Are you a USA Hockey registered program?*
- Yes
- No
Total number of youth players in your organization*
What age groups do you field?
select all that apply
- Learn to play
- 8U (mite)
- 10U (squirt)
- 12U (peewee)
- 14U (bantam)
- 16U (midget or High School
Do you have any all girls teams?
select all that apply
- Learn to play
- 8U (mite)
- 10U (squirt)
- 12U (peewee)
- 14U (bantam)
- 16U (midget or High School
Tell us why you are the best candidate
Tell us about your organization*
How will the funds be used?*
Comments / Additional information about your organization, program, rink or needs?
Name
This field is for validation purposes and should be left unchanged.

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