PLAYER SIGN UP Complete the below form to register. Are You Over the Age of 18?*YesNoEvent/Organization*--Connecticut RiverHawks Youth HockeyLong Island Rebels Hockey AssociationLong Island SharksNorth Rockland Youth HockeyOld Bridge Jr. Knights Youth HockeyScarsdale Youth HockeyName* First Last Email* We will use this to let you know when your fundraising page is live and to communicate any important messages as we get closer to the event.Username*Choose a login username so you can track how much money you have raised.Jersey Size*SMLXLXXLGoaliePosition*SkaterGoalieFundraising Goal*Please enter a number greater than or equal to 500.The minimum amount required to secure your space is $500. Please choose your fundraising goal. This will be public. Remember the top 4 fundraisers go to a special Rangers Fantasy Camp.Why Are You Raising Funds? Why Are You Interested in Participating in This Game?*Please provide a couple paragraphs describing why you want to support the charity. This will be posted directly on your donation form for others to see and help them want to support you.Your Profile Photo* Please upload an image of yourself in .JPG or .PNG format. By checking the box below and submitting this form, I confirm that* I have previously participated in the sport of hockey.I am aware of the inherent risks associated with participation. I have the physical ability to participate in the Event. I possesses a sufficient level of skill for participationI have no health problems that would increase risk for injury during participation. Additionally, I confirm I will be required to sign a waiver releasing the organizers of liability prior to participation. We are sorry, but you must be 18 years of age or older to participate as a player in this game. This iframe contains the logic required to handle Ajax powered Gravity Forms.