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The Bay City Rollers Roadies Skating Application Form
It's great to hear you are keen to skate with us.
You can use this form if you are either interested in attending one of our intro skating sessions or to confirm your place in our next 'Roadies' Freshmeat Course starting June 3rd.

The Bay City Rollers are only running one Freshmeat course in 2018.
We are running 6 'Intro to Derby' sessions on sundays from April 22nd for those that want to give skating a try and meet our skaters before commiting to our Freshmeat course.
Our Freshmeat course is 20 weeks long and will teach you all the basic skating skills & rules you will need to become a bouting skater for one of our teams.

For more information please contact our recruitment team:
Call/Text 021 08261592
Email bcrrecruits@gmail.com
Visit baycityrollers.co.nz

I am interested in: *
Required
Personal Details
Name *
Your answer
Address *
Your answer
Phone (Home) *
Your answer
Phone (Cell) *
Your answer
Email *
Your answer
Date of Birth (DD/MM/YY) *
Your answer
Equipment
Do you already have any of the following equipment?
Roller Skates *
If no, what shoe size are you?
Your answer
Knee Pads *
If no, what size are you? (S, M, L, XL)
Your answer
Helmet *
If no, what size are you? (S, M, L)
Your answer
Mouthguard
Please Note:
Any equipment you hire is included in the $50 course fee – you will need to purchase your own at the end of the first 6 weeks. You use BCR skates at your own risk and will be liable for any damage caused intentionally.

BCR require a bond of $100 which will be fully reimbursed once the equipment is returned in good condition.

Should you continue to require our equipment after the first 6 weeks you will need to discuss this with your coach.
A $5 per session charge will be incurred.

** You are not required to pay a bond for skates used during Intro to Derby sessions, All gear must remain at the training venue. **

BAY CITY ROLLERS EQUIPMENT DISCLAIMER
It is my responsibility to ensure the equipment I use is looked after at all times.

I understand that all damage to equipment, whether intentional or due to normal wear and tear, must be reported as soon as possible. Please advise your coach as soon as you become aware of the damage to ensure the equipment can be fixed or replaced.

I agree to pay a bond of $100 for any BCR equipment I hire. I understand that this bond will be reimbursed to me, in full, once all of the equipment is returned to BCR.

I understand I may be charged, and agree to pay replacement costs of equipment, if I have caused any intentional damage or damage caused by my negligence and undue care. This may come out of the bond I have paid.

I understand that all use of equipment is at my own risk and I have read and signed the Bay City Rollers Disclaimer of Liability acknowledging my understanding of the risks of skating, use of equipment, person property and Roller Derby.

I understand that all hired equipment can only be used for the first 6 weeks of the Roadies course and I must have my own suitable rollers skates, knee pads, elbow pads, wrist guards and helmet at then end of the 6 weeks.

By ticking the box below, you agree to the above terms of use. *
Emergency Details / Next of Kin
Name *
Your answer
Phone (Home) *
Your answer
Phone (Cell) *
Your answer
Address *
Your answer
Relationship to you *
Your answer
Other Details
How did you hear about the Bay City Rollers? *
Required
By entering your initials in the box below, you are indicating that all the information provided on this form is true and accurate, to the best of your knowledge. *
Your answer
I agree to make full payment to BCR ($50 course fee + $100 Bond if applicable) to secure my place on the course. *
Payment Details
Please make payment of $50 Course Fee + $100 Gear Hireage Bond (If applicable) to
Bay City Rollers Inc.
Account Number 03-0698-0919384-00
Please use your Name + 'Roadies' as reference.

Our recruitment team will contact you once payment has been recieved with a New Skater Info Pack.

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