Newton Indoor Sports Center

Adult Roller Hockey

Team Registration Form

 

 

………………………………….Application………………………………………

 

Team Name_______________________________________________

(Circle one)    League           Tournament

Specify event and division (example: “Tuesday Roller”, “Money Ball Tourney”)

_________________________________________________________________         

Captain’s Name_______________________________________________

Address_________________________________________________________________

            _________________________________________________________________

City_________________________ State_______________ Zip___________________

Home Phone # (_____)_______-_______

Work/Cell Phone # (_____)_______-_______  ext._______

Email Address _______________@_______________

Other Players

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

Name_______________________________________________

 

***Full Payment Required for Registration. All team players must fill out and sign the team roster before playing the first game.  Please make checks payable to: Newton Indoor Sports Center. Please mail payment with application to 125 Wells Ave., Newton MA 02459

 

Newton Indoor Sports Center 125 Wells Ave., Newton MA 02459 (617) 964-0400