Waiver & RHA Registration (Fall Invitational)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 ColumbiaColombiaColoradoConnecticutFloridaFranceGeorgiaIllinoisIndianaIowaKansasKentuckyManitobaMarylandMichiganMissouriNebraskaNew JerseyNew YorkNorth CarolinaNorthern CaliforniaOhioOklahomaOntarioOregonPennsylvaniaRhode IslandSouthern CaliforniaSwedenSwitzerlandTennesseeTexasVirginiaWisconsinDivisionSenior AASenior A35+ AAA35+ AA/ATeam NameBeast (PA)Black Biscuit Konixx Militia (NJ)Bobby's Boys (NY)Champion Impact (NY)Deuces (PA)Empire Snipers (NY)Hat-Trick Heroes (PA)Health & Fitness Professionals (NJ)Kraken (PA)Labeda New Boot Goofers (NY)New England Nobody's (CT)NJ Greyhounds (NJ)Rink Rat Empire Brooklyn (NY)Rink Rat Empire (NJ)Rink Rat Empire (NY)Rink Rat Iron Knights (PA)Scorchers (PA)Tour Assault (NJ)Wheel Talk Flamingos (NY)2 and 10 Wheelers (PA)NameFirst NameLast NameBirth Year (ex 1985)EmailWaiver2021WaiverADULTwaiver2021WaiverMINORwaiverPlayer/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.