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NCRHA

National Collegiate Roller Hockey Association

NCRHA Registration Center

Progress

Thanks for your interest in registering for the 2016-2017 NCRHA Season!

Step 1: Please choose one:

Basic Information

Team missing? Contact your conference director!
If you participated last year and can't find yourself, please check to see what you were listed as on the website last season.
  • Note that your name may be "William" instead of "Bill", etc.
  • Make sure that you select the right team from the list.
  • Make sure you correctly chose 'player' or 'team staff' in step 1

Is This You?

Name Club Details

Contact Information

We care about your privacy. NCRHA will never sell or share your data with a third party without your consent.
We use the data you provide here solely to contact you concerning the NCRHA.
Optional
Please use your full legal name here - for example, William Jones III instead of Bill Jones
Please provide an alternate email that is not a school .edu address - GMail, Hotmail, Yahoo, etc.
Home Address

Please use a permanent address here (not a school PO box or temporary apartment).

Capital letters only
School Address

Optional: This area is for your contact information while at school. This may be a school PO Box or an off-campus apartment.

Capital letters only

Biographical Information

Alternate Position
In feet and inches
In pounds
List any certifications, past teams, First Aid/CPR, EMT, etc.
If outside US/CA, enter like "Moscow, Russia"
Capital letters only

Emergency Contacts

Please enter at least one emergency contact below.

Conference Waiver of Liability

Please read and accept the Waiver of Liability, Release Assumption of Risk & Indemnity Agreement

In consideration of being permitted to participate in any activities sponsored, coordinated and/or assumed by the (known hereafter as "the conference"), individual colleges, universities, sports clubs or any facility at which I participate (known hereafter as "the organizations") assume all risk of loss, damage, illness, death or injury to person or property which I may sustain while participating or engaging in, or as a result of such activities. I also release the organizations, their officers, trainers, administrators, and fellow members and/or associates from any and all claims, demands and causes of action on account of any loss or injury, which may occur during my participation, involvement with, or as a result thereof, whether arising through negligence, omission, default, or any other action of or by the organizations, their officers, trainers, administrators, fellow members, and/or any person or organization associated with such activities. I fully understand that the activities undertaken by the organizations may include but are not limited to risks of: heat exhaustion, dehydration, concussion, sprains, fractures, abrasions and other injuries to myself and other participants, including the risk of permanent injury and/or death.

I further declare that I have received and read all information regarding the insurance policy. I have been advised to seek a physical examination in order to determine my fitness for all activities undertaken by the organizations and have informed the organizations of any physical and/or medical conditions, which may prohibit or limit my participation in such activities. I am aware that there are risks associated with the activities as described above and that I may suffer property loss or bodily injury arising out of my participation in the activities. In executing this document, I also relinquish any right to sue any of the organizations, its officers, trainers, administrators, other members, and/or any person or organization associated with activities as a result of any injury, loss, or action involving the organizations. However, I voluntarily choose to assume these risks and participate in the activities. I have read and executed (printed name above and signed below) this document with full knowledge of its significance. I further state that I am 18 years of age or older and competent to execute this affirmation and release or I must have parental consent and signature of a parent or guardian in order to participate in the activities of the above named organizations.

I further declare that I have received and read all information regarding the insurance policy offered by USA Roller Hockey in affiliation with the conference, and at the time of signing this release, I am currently a member in good active status of USA Roller Hockey or intend to be as mandated by the conference in order to partake in conference events. I understand that full facial protection is mandatory.

NCRHA Waiver of Liability

Please read and accept the Waiver of Liability, Release Assumption of Risk & Indemnity Agreement

In consideration of being permitted to participate in any activities sponsored, coordinated and/or assumed by the National Collegiate Roller Hockey Association (known hereafter as the NCRHA), individual colleges, universities, sports clubs or any facility at which I participate (known hereafter as "the organizations") assume all risk of loss, damage, illness, death or injury to person or property which I may sustain while participating or engaging in, or as a result of such activities. I also release the organizations, their officers, trainers, administrators, and fellow members and/or associates from any and all claims, demands and causes of action on account of any loss or injury, which may occur during my participation, involvement with, or as a result thereof, whether arising through negligence, omission, default, or any other action of or by the organizations, their officers, trainers, administrators, fellow members, and/or any person or organization associated with such activities. I fully understand that the activities undertaken by the organizations may include but are not limited to risks of: heat exhaustion, dehydration, concussion, sprains, fractures, abrasions and other injuries to myself and other participants, including the risk of permanent injury and/or death.

I further declare that I have received and read all information regarding the insurance policy. I have been advised to seek a physical examination in order to determine my fitness for all activities undertaken by the organizations and have informed the organizations of any physical and/or medical conditions, which may prohibit or limit my participation in such activities. I am aware that there are risks associated with the activities as described above and that I may suffer property loss or bodily injury arising out of my participation in the activities. In executing this document, I also relinquish any right to sue any of the organizations, its officers, trainers, administrators, other members, and/or any person or organization associated with activities as a result of any injury, loss, or action involving the organizations. However, I voluntarily choose to assume these risks and participate in the activities. I have read and executed (printed name above and signed below) this document with full knowledge of its significance. I further state that I am 18 years of age or older and competent to execute this affirmation and release or I must have parental consent and signature of a parent or guardian in order to participate in the activities of the above named organizations.

I further declare that I have received and read all information regarding the insurance policy offered by USA Roller Hockey in affiliation with the NCRHA, and at the time of signing this release, I am currently a member in good active status of USA Roller Hockey or intend to be as mandated by the NCRHA in order to partake in NCRHA events. I understand that full facial protection is mandatory.

USA Roller Hockey Membership

Paste or type in your 16-character USA Roller Hockey Confirmation Code below to complete registration.

Don't have a code yet?

Click Here to Register for the 2016-2017 season of USA Roller Hockey

Confirm Your Registration

Just to be sure, we are registering as a on for the 2016-2017 season.

Registration Complete

Thanks for registering! Your account is currently pending and must be approved by a league administrator in order for you to appear on the team roster.

If you experienced any issues while registering, please email support (AT) powerplaystats (DOT) com and let us know!

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