Welcome to Our New Website! 2023 Spring Registration Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastChild's Date of Birth *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCurrent School *Jersey Size *ChooseYouth-SYouth-MYouth-LYouth-XLAdult-SAdult-MAdult-LAdult-XLAdult-2XLDo you play ice hockey?ChooseNoYesIf YES, where do you play ice hockey?Parent or Guardian Name *FirstLastParent or Guardian Phone Number *Comment or MessageSubmit If you would like to be a sponsor please email at rollerhockeycp@gmail.com for more information