MIHOA Scheduling System Set Up Form

MIHOA Scheduling System Set Up Request Form

Complete the form and submit to MIHOA Scheduler to have your team set up in the MIHOA scheduling system
Todays Date

Month Day Year
Team League Information
Division: *

Missouri Hockey Youth Division Mid States MVCHA Adult Men Adult Women College Men College Women Spring/Summer/Independant
Enter team name:
Youth Division Club: *
Youth Division Age Group *

ADM-8&Under Squirt-10&Under Pee Wee-12&Under Bantam-14&Under Midget-15&Under Midget-16&Under Midget-18&Under
Youth Division League Level: *

AAA AA A1 A2 B GOLD SILVER CSDHL
Mid States School: *
Mid States League Level *

Varsity JV Development B Development C
MVCHA School: *
MVCHA League Level *

Varsity JV Development B Development C
College Men League Level *

D1 D2 D3
College Men's School: *
College Women League Level *

D1 D2 D3 NCAA
College Women's School: *
Adult League *

East Alton Hardee's HNA Women Other
Adult Team Name: *
Team Head Coach Information
Head Coach Name: *

First Name Last Name
Head Coach E-mail: *

Confirmation Email Head Coach will receive a request confirmation email
Head Coach Cell Phone Number: *
Team Manager Information
Team Manager Name: *

First Name Last Name
Team Manager E-mail: *

Confirmation Email Team Manager will receive a request confirmation email
Team Manager Cell Phone Number: *
Payment Information
You must download the payment authorizatin form then:
1. Complete all information required
2. Sign the form
3. Uplooad the form
Select the MIHOA Payment Authorization form to upload *
Select the type of payment. Your payment information will be stored in a secure payment storage vault that meets of the required PCI security standards. Credit card payments will be subject to an additional 4% surcharge. *

ACH Bank Account Credit Card
Comments:
Enter the characters as displayed: *
Should be Empty:

MIHOA Scheduling System Set Up Request Form

Team League Information

Team Head Coach Information

Team Manager Information

Payment Information