Youth Registration | Naples Roller Hockey

Player's First name

Player's Last name

Birthday

Month

Day

Year

Parent's Name:

Parent's Phone Number:

Parent's Email Address:

Gender

Male

Female

Prefer not to say

Home Address:

Emergency Contact:

Emergency Contact Phone:

Seasons Played:

Position:

Player

Goalie (goalies play for free)

Both

Division Requested (can be adjusted for skill level):

Mites (5-8 years old and newer skaters under 9)

Pee Wee (9-12 years old and older newer skaters 13 and under)

Bantams 13+ or more skilled younger skaters

Unsure

Preferred Jersey #

Second Choice Jersey #

Comments and/or Requests:

Are you interested in coaching or assisting a team?

Coach

Assistant Coach

Maybe

Not Interested

Interested in helping the league?

Division Director (Includes the operations of one of the divisions. Help organize teams and goalies if needed. Create a fun and fair environment for the kids.)

Fundraising (Mostly contacting sponsors and possibly organizing an event or two.)

Consessions

Social Media

I'm not interested

Other

Would your family or business be interested in our sponsorship program? If so, we will email more information.

Yes

No

Maybe

League Fee

$165

Optional Player Pants

Player Pants$50

League Registration

Youth League - Winter/Spring 2026

Below is an example of our new NRHL jerseys and player pants

If you would like to purchase pants, there will be an additional $50 fee in addition to the registration amount

League Registration

Youth League - Winter/Spring 2026

Below is an example of our new NRHL jerseys and player pants If you would like to purchase pants, there will be an additional $50 fee in addition to the registration amount

Below is an example of our new NRHL jerseys and player pants

If you would like to purchase pants, there will be an additional $50 fee in addition to the registration amount