Junior Storm Squad Registration

Child Name*

First Name

Last Name

Parent Name*

First Name

Last Name

Age*

Phone*

Parent Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

T-Shirt Size*

Package*

$85: clinic only, no game ticket $145: clinic and upper level game tickets for one adult and one child $215: clinic and lower level game tickets for one adult and one child

Number of Additional Upper Level Tickets

$22 per ticket

Number of Additional Lower Level Tickets

$55 per ticket

Payment*

Check Credit Card

Credit Card Name*

First Name

Last Name

Credit Card Number*

Expiration Date*

Please mail payment to: Carolina Hurricanes Junior Storm Squad, 1400 Edwards Mill Road, Raleigh, NC 27607.

For more information contact kimberlyj@carolinahurricanes.com