National Roller Sports Association
Club Registration for the NRSA
Club Name
*
Rink Name
*
Rink Owner
*
First Name
Last Name
Discipline(s)
*
Inline Speed Skating
Inline Hockey
Artistic Skating
Rink Hockey
Rink Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
President of Club Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Submit
Should be Empty: