Mentor Registration

To register as a mentor for the Washington Ice Dogs, please complete the form below.Additionally, prior to the first practice you attend, you need to:

If you have any questions, please contact Program Directors Melissa Schaab and Stacie Manger at washingtonicedogs@gmail.com.

Name *
Name
Date of Birth *
Date of Birth
Phone Number *
Phone Number
Guardian Name *
Guardian Name
Guardian Phone Number *
Guardian Phone Number
If Applicable