Waiver & RHA Registration (2023 EC Summer Slam)Fields marked with an * are required.error_outline Some fields contain errors Show {{form.showErrors ? 'Less' : 'More'}}keyboard_arrow_down {{error.field}} - {{error.message}} State/ProvinceAlbertaArgentinaArizonaBrasilBritish ColumbiaCayman IslandsColombiaColoradoConnecticutFloridaFranceGeorgiaIllinoisIndianaIowaKansasKentuckyManitobaMarylandMassachusettsMichiganMissouriNebraskaNew JerseyNew YorkNevadaNorth CarolinaNorthern CaliforniaOhioOklahomaOntarioOregonPennsylvaniaRhode IslandSouthern CaliforniaSwedenSwitzerlandTennesseeTexasVirginiaWisconsinDivision6u8u10u12u14u16u18uJuniorSenior AASenior A/B35+45+Team NameBombersBIRRBMRH All StarsBoston BlizzardChampion Impact BlueChampion Impact WhiteEast Coast RebellionEast End BlazeEmpire Labeda SnipersGambling GuysGavonesHockeyMutt.comHalton CoyotesJunior WhalersLabeda Get Saucy 2012'sLabeda North ParkLegendsLIHA FLLI BlazersLong Island BroncosMach 1 Bobbys GoofersOTF Empire (NJ)OTF Empire (NY)Polar BearsScrub Daddy'sRK NighthawksThe FewTrashersTropicanasUnify Konixx Black IceWhalers3P1C Labeda Blood & FeathersNameFirst NameLast NameBirth Year (ex 1985)EmailWaiver2023WaiverADULTwaiver2023WaiverMINORwaiverPlayer/Parent Name (if under 18 must be parents name)First NameLast NameAgree I have read the above waiver and agree to itSign your name if you agree with the above waiverFull NameSignarrow_drop_downGenerate from nameclearLoad signature fontRHA FormRHA FORMNameFirst NameLast NameAgree I agree to the above RHA waiver.Sign your name if you agree with the above RHA waiverFull NameSignarrow_drop_downGenerate from nameclearLoad signature fontRHA FeeRHA Weekend or Yearly MembershipSelectWeekend Warrior - $15.00Yearly Membership - $35.00If you already have RHA just sign and click continue to PayPal to submitPaymentDiscountSubtotalTaxTotal USDContinue to PayPalThe form has been submitted.