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Kansas City Roller Warriors Junior Derby Sign-Up
Legal Name of Skater *
Your answer
Skater Name (AKA Derby Name) *
Please check here before selecting a name - duplicate names are not allowed.
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Skater Number *
Please check here before selecting a number - duplicate numbers are not allowed.
Your answer
Current Skater Skill Level *
JRDA level testing is conducted throughout the year - completion of testing is not required to participate
Skater Email
If your skater does not have an e-mail skip this question
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Guardian Legal Name(s) *
Person(s) who are responsible for the skater.
Your answer
2nd Guardian Legal Name (if applicable)
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Guardian Email *
Your answer
2nd Guardian Email (if applicable)
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How did you find out about the Junior Warriors Program? *
Select all that apply
I'm signing up for the following session *
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