Fall Registration 2023 Please enable JavaScript in your browser to complete this form.Player InfoName *FirstLastDate of Birth *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCurrent School *Grade *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/Guardian InformationName *FirstLastParent or Guardian Phone Number *Email *Are you interested in volunteering? If yes, please check any of the options below that you are interested in! *No, thank you.CoachingScorekeeping (for online stats)Running the ScoreboardShoveling Snow/Drying the RinkRefereeingMarketingPhotographyRink RepairsSponsorship OutreachHow would you like to see CPRH improve in the next year?College Point Roller Hockey Registration Waiver In consideration of receiving permission from College Point Roller Hockey to roller skate and play roller hockey. I hereby expressly agree; To ASSUME ALL RISK AND RESPONSIBILITY, for any injuries I may sustain, any injuries I may cause to any other person, and any damage I may cause to the property of any other person in connection with my activities while participating in a College Point Roller Hockey function. TO RELEASE College Point Roller Hockey and its directors, officers, instructors, coaches, referees FROM ALL CLAIMS AND LIABILITY for any injuries I may sustain or any damage that may be caused to my property in connection with my activities in a College Point Roller Hockey function including without limitation, Injuries or property damage even if my injuries or the damage to my property is caused in whole or in part by negligence or fault of College Point Roller Hockey its directors, officers, instructors, coaches. I have read and am familiar with the rules and regulation of College Point Roller Hockey and agree to obey them. I understand that roller skating/roller hockey is a dangerous sport which has physical body contact. I am also aware that all equipment which I wear must be either NHL, HECC, NCAA, or AHAUS approved and under no circumstances may approved equipment be altered or revised in any manner. In consideration of College Point Roller Hockey granting my son/daughter permission to play roller hockey or otherwise participate in CPRH functions and activities I herby agree on behalf of both myself and my son/daughter to ALL the terms and conditions set forth above Please sign to agree to our terms and conditions *Clear SignatureSubmit