Waiver & RHA Registration (2023 Mid West Wars)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 NameBack Door BanditsBlade UnitBud LightCarShield BlastCarShield Blast BlueCarShield Blast BlackCarShield Blast SilverCarShield Blast MastersCustom SkateWorksD-League All StarsDangle PigeonsDes Moines XplosionFarm ToughGremlinsHot ShotsHotwheelsKansas City WolfpackKarensLabeda Freez Farm ToughLizardsMissouri MayhemMO Power PunishersPama Labeda Golden Knights (IRHL)Peter North StarsPit StopRaptorsRinkRat WhalersRiver RatsSTL WhalersSTL WizardsTGP SportsTour Country PuckTour Country Puck BlueTour KAOSTour KAOS BlackTour KAOS OrangeTour YVUTrash PandasWild WingsNameFirst 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.