Register with Regency Ice Rink

By filling out this registration form, you will become an official member of the Zamboni Society and automatically included on our list for all rink and pro shop savings announcements.

PLEASE FILL OUT THE ENTIRE FORM BELOW

Already Registered? Enter E-Mail Address and Click to Recall Data

Email:
First Name:
Last Name:
Date of Birth: (mm/dd/yyyy)
Phone:
Address:
Apt. No./Suite
City:
State:	Zip:
Team/Group:

Are you in charge of a team/group? Yes No

Hockey Experience: 1 year or less 2-3 years 3-5 years 5+ years

Do You Play Goalie? Yes No

Are you interested in open skates? Yes No

Are you interested in open hockey? Yes No

Favorite Sports Teams:

Check any of the group events that interest you:

Minor League Hockey	NHL Game	Golf Outing
College Football Games	Parties/Picnics	Social Outings
Other

Would you like to recieve hockey shop sales offers and discounts? Yes No