2024 National Roller Sports Association

National Roller Sports Association

Athlete Registration for the NRSA
There is a $50 fee to join the National Roller Sports Association

If you are 18 years old or older you will be required to undergo a background check. You will also be required to take an online, 'Safe Sport' training.
Skaters Name*

First NameMiddle NameLast Name
Skaters Date of Birth*

MonthDayYear
Date
Maiden Name (If Applicable)

First NameMiddle NameLast Name
Parent/Guardian Name*

First NameLast Name
Discipline *
What is the name of your Club? *
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Social Security Number*
000-00-0000
Are you the coach of your team?*

YESNO
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My Products*

NRSA RegistrationYearly registration for the National Roller Sports Association

$50.00 Quantity

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country