Introduction

Fall Season Starts (9-12-26) Registration Open Must Pay to Play: $275.00 / CHILD (INQUIRE FOR FAMILY DISCOUNTS) CASH OR ZELLE Middlevillageroller@hotmail.com : This page you can fill out the registration form and become a new member of the Middle Village Roller League. Enrollment of new members is ongoing, every day there is more and more joy and excitement!
** Please Include No Dashes and Slashes in "Participants Date of Birth" Portion of Registration Form

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We look forward to hearing from you!

Begin registration process !

Download & read documents

After downloading and reading the necessary documents,
you can continue the registration process by pressing the next button

After downloading and reading the necessary documents,
you can continue the registration process by pressing the next button

Participants Step1

Participant's date of birth

Please pick a date from a date picker or type in the format mm /dd / yyyy. Only numbers are allowed.

Participant's first name

Participant's last name

Parents | Guardian Step2

Parent / Guardian's first name

Parent / Guardian's last name

Phone

Address

Email address

Final Step 3

License agreement / Terms&Conditions

I Agree with all

Terms&Conditions

Date

Signature

By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement.

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