SSL Certificate

2016-2017 Coach Registration

Membership will be active through August 31, 2017 - Looking for a different type of membership?

Please note that you are covered as a player, coach AND official regardless of which membership type you choose.

Are you over 18?

In order to complete online registration for yourself or a child, you must be 18 years of age or older.

If you are under 18 years of age, please have a parent or guardian complete this registration for you.

Participant Information

Enter information about the person who this membership is for below.

Participant Information

Contact Information

Address Information

Participant Waiver

It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of releasees. 'Releasees' include USA ROLLER HOCKEY, Inc. (referred to also as USARH) and their respective affiliate associations, local associations, sanctioned league, sanctioned tournament and their organizers, member teams, event hosts, other participants, coaches, officials, sponsors, advertisers, and each of them, their officers, directors, agents and employees.

For and in consideration of the undersigned participant's registration with USA ROLLER HOCKEY, Inc. and, its affiliates, local associations and member teams, sanctioned leagues and tournaments and their organizers, and being allowed to participate in USARH events and member team and sanctioned league / sanctioned tournament activities, participant (and the parent(s) or league guardian(s) of participant, if applicable) waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant, arising out of participation in USARH events, member team and sanctioned league / sanctioned team activities, the sport of inline hockey, and/or activities incidental thereto, whenever or however they occur and for such a period said activities may continue, and by this agreement any such claims, rights and causes of action that participant (and participant's parent(s) or legal guardian(s), if applicable) may have are hereby waived, released and relinquished, and participant (and parent(s)/guardian(s), if applicable) does(do) so on behalf of my/our and participant's heirs, executors, administrators and assigns. Participant (and participant's parent(s)/guardian(s), if applicable) acknowledge, understand and assume all risks relating to inline hockey and any member team activities, and understand that inline hockey and member team activities involve risks to participant's person including bodily injury, partial or total disability paralysis and death, and damages which may arise there from and that I/we have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including 'releasees' identified below. These risks and dangers include, but are not limited to, those arising from participating with bigger, faster and stronger participants, and these risks and dangers will increase if participant participates in inline hockey and member team activities in an age group above that which participant would normally participate in. I/We further acknowledge that there may be risks and dangers not known to us or not reasonably foreseeable at this time. Participant (and participant's parent(s)/guardian(s), if applicable) acknowledge, understand and agree that all of the risks and dangers described throughout this agreement, including those caused by negligence of participant and/or others, are included within the waiver, release and relinquishment described in the proceeding paragraph. I/We agree to abide by and be bound under the rules of USA ROLLER HOCKEY, including the By-Laws of the corporation and the arbitration clause provisions, as currently published. Copies are available to USA ROLLER HOCKEY members upon written request. Participant (and participant's parent(s)/guardian(s), if applicable) acknowledge, understand and assume the risks, if any, arising from the conditions and use of inline hockey rinks and their surfaces and related premises and acknowledge and understand that included within the scope of this waiver and release in any cause of action (including any cause of action based on negligence) arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releasees, or negligent supervision or instruction by releasees. If the law in any controlling jurisdiction renders any part of this agreement unenforceable, the remainder of this agreement shall nevertheless remain enforceable to the full extent, if any, allowed by controlling law. This agreement affects your legal rights, and you may wish to consult an attorney concerning this agreement. Participant (and participant's parent(s)/guardian(s), if applicable) agree if any claim for participant's personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever or wherever made or presented for participant's personal injuries, property damage or wrongful death. Participant (and participant's parent(s)/guardian(s), if applicable) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers of inline hockey and understand these waivers and releases are necessary to allow amateur inline hockey to exist in its present form. Significant exclusions may apply to USA ROLLER HOCKEY's insurance policies, which could affect any coverage. For example, there is no liability coverage for claims of one player against another player. If you have any questions, contact USA ROLLER HOCKEY.

Review Registration Details

Please review the information below to ensure it is correct before continuing.

    Name Membership Price
    No signups are currently pending.

Payment Information

Enter your billing information below to complete the registration process.

Billing Information

Please wait and do not refresh the page or hit 'back' after submitting payment, as it may result in multiple charges.
Contact support@powerplaystats.com if the page stops responding.