Adult Roller Hockey - Under age player request

This form must be completed by ALL parents / guardians who wish to have a player under the age of 18 participate in the Hockey House Mens Roller Hockey league.

The rule for the league is 18 and older.

By completing this form a member of the league will review it and let you know if you are accepted to play.

It is also to be understood that ALL player under 18 MUST participate in the Hockey House youth league.

Hockey Season

Season

Fall Winter 2024-25 Season

Players Information

Players Name

Players Birthdate including YEAR

Players Email

Team Name player wishes to join

Parent / Guardian Information

Parent / Guardian Name

Parent / Guardian Phone

Parent / Guardian Email

Registration

I understand that I will need to register my child for Men's League

Waivers

I understand that a sport accident waiver is required to be signed to participate

Payment

Discount

Subtotal

Tax

Total USD