(2) 2026 Youth Roller Hockey Registration (HRH)

2026 Roller Hockey Registration (HRH)

Fields marked with an * are required.

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Player Info

Players Date of Birth

Player Name

First Name

Last Name

Player Experience

If any allergies or health problems please describe below

Level of Ice Hockey

Parent/Guardian Info

Home City

Postal Code

Secondary Email

Home Phone

Cell Phone

Emergency Phone

Additional Info

Payment & Waiver

Click here to read the waiver (it opens in a new window; make sure popup blockers are disabled)

I Accept the Waiver

I have fully read and fully understood the Canadian Roller Hockey Group waiver form

Signature

Full Name

Sign

By signing my name in the signature box, I understand that my child will participate in roller hockey with Canadian Roller Hockey Group. I am aware of all the risks associated with the sport.

Division

Select

Quantity

Please select the correct division based on birth year.

Player Request

Requests will only be accepted if they are mutual. For example, if Player A requests to play with Player B, Player B must also request to play with Player A for the friend request to be approved.