Team Sign Up Form
Please fill out this form completely.
Team player fee, if 8 skaters and 1 goalie minimum is reached: $95.00 per player

Please print this page by using the "Print" control under the "File" menu and send along with a check to:

RDJ Hockey, llc, 2233 Hamline Avenue N, Suite 127, Roseville, Minnesota 55113

When complete, select the "
submit" button below and send.                                                                                                                               

Please select this button Inline Roller Hockey Flyer and fill out the waiver at the bottom and send along with your fee.
If you are under 18, you must have a guardian or parent sign this waiver.

Please pay by check and send to the address above, thank you!

Session:  Rink Location: 

School/Association: Level:

 

Spring            West Side (St. Paul) 

Summer         Super Rink (Blaine) 

Fall                   Hopkins Pavilion  


TEAM Roster

 

Coach: E-mail

 

Players:

 

Goalie:   E-mail Phone (H)     (C)      

           1. E-mail Phone (H)     (C)    

           2. E-mail Phone (H)     (C)    

           3. E-mail Phone (H)     (C)    

           4. E-mail Phone (H)     (C)    

           5. E-mail Phone (H)     (C)    

           6. E-mail Phone (H)     (C)    

           7. E-mail Phone (H)     (C)    

           8. E-mail Phone (H)     (C)    

           9. E-mail Phone (H)     (C)    

         10. E-mail Phone (H)     (C)    

Please print this page by using the "Print" control under the "File" menu and send along with a check to:
RDJ Hockey, llc, 2233 Hamline Avenue N, Suite 127, Roseville, Minnesota 55113

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