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

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?

Email

This field is for validation purposes and should be left unchanged.

APPLICATION

Benefit Hockey Game Application

Your Contact Information

About your Youth Hockey Organization

Program Details

Tell us why you are the best candidate

646.979.7500

APPLICATION

Benefit Hockey Game Application

Your Contact Information

About your Youth Hockey Organization

Program Details

Tell us why you are the best candidate

646.979.7500

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