Register Here

Please read before your first practice:

The Richmond Retrievers annual membership fee is $150 per player + $75 for each additional player in the same household. This will be an annual fee that is due by June 1st of each year.

The membership fee may be paid by:

Venmo: richmond_retrievers

PayPal: richmondretrievers@gmail.com

Personal Checks or Money Orders payable to: Richmond Retrievers (please e-mail us at richmondretrievers@gmail.com for mailing instructions).

Please note that the Richmond Retrievers annual membership fees will never be a barrier to players getting on the ice. If any family is experiencing financial hardship, please e-mail us at richmondretrievers@gmail.com with the subject line “Annual membership fee financial hardship program” and we will work with you!

Player Name(required)

Player Date of Birth(required)

Player Skill Level

Beginner Intermediate Advanced

Primary Contact Name(required)

Primary Contact Phone Number(required)

Primary Contact Email(required)

Secondary Contact Name

Secondary Contact Phone Number

Secondary Contact Email

USA Hockey Number (optional)

Medical History: Relevant medical information so that our staff can best provide the support your child needs on the ice.(required)

Permission to Photograph(required)

Yes No

I confirm that I am the parent or legal guardian of the registered player OR I am a player, age 18 or older, who does not require parental/legal guardian consent.(required)

Yes

Agreement to Consent to Treat, Waiver of Liability, and Richmond Retrievers Code of Conduct Policies: I have read and agree to the terms of the Consent to Treat, Waiver of Liability, which includes the COVID-19 Waiver, and the Richmond Retrievers Policies.(required)

Yes

Initials(required)