Ducks Adult Learn To Play - Waitlist

Please fill out the form below to register for the Adult Learn to Play waitlist.

First Name*

Last Name*

Gender*

Date of Birth*

Value must be a valid date (MM/DD/YY or MM/DD/YYYY)

Age*

Phone*

Email Address*

Do you have your own hockey gear?*

Preferred Facility: First Choice*

Preferred Facility: Second Choice*

How did you hear about the program?*

If Other above, please specify:

Please subscribe me to The Rinks & Great Park Ice weekly newsletter for info on new programs/events.

By submitting this form, I agree to the Anaheim Ducks, an ocV!BE company, Privacy Policy.

If you have any questions, please email us at hockeydevelopment@anaheimducks.com