APPLICATION TO HOST A GAME Benefit Hockey Game Application Please complete & submit the below application to be considered for the program. Your Contact InformationName* First Last Email* Phone*Position with Organization*i.e. President, Board Member, Parent, etc.About your Youth Hockey OrganizationAre you a registered 501c(3) program?*YesNoYou 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Program DetailsHome RinkIs your rink publicly or privately owned?*Publicly ownedPrivately ownedAre you a USA Hockey registered program?*YesNoTotal 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 candidateTell us about your organization*How will the funds be used?*Comments / Additional information about your organization, program, rink or needs?PhoneThis field is for validation purposes and should be left unchanged. GET IN TOUCH 646.979.7500 Email Us RESOURCES Apply to host game Update profile photo © 2019 Girsch Sports, Inc. | Terms & Conditions