Roller Hockey Registration

Roller Hockey Registration

Although this league is played at Grand Lake Skate it is a separate entity that is a 501c3 non profit called Lakeside Hockey. This allows us to take donations to provide the league and equipment at a very low cost to you.
Player Name*

First NameLast Name
Player Birth Date*

MonthDayYear
League*

Pre-Skaters 3, 4, 5 year oldsLIttle Shooters 4, 5, 6 year oldsBoth Pre-Skaters and Little Shooters(cost is still only $75)Wheelers 6, 7, 8 year oldsHotshots 9, 10, 11, 12 Year Olds
Parent Contact Name*

First NameLast Name
Parent Contact Phone*
Parent Contact E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T-shirt size*

Youth SmallYouth MediumYouth LargeAdult Small
I would be willing to help out with concession stands during the league*

YesNo
I would be interested in coaching my kids team*

YesNoI will help but not head coachYes, but if someone else wants to pick them first
Request to be on the same team with other players. Please write their full name.
Comments / Questions:

My Products

Free Registration Sponsorship

$ Free Quantity

Hockey Registration

$75.00 Quantity

Total

$0.00