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Big Island Brawl 2019 Roller Derby Tournament
League Participant Application for Consideration
League Name *
Your answer
League Email *
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League Mailing Address *
Your answer
Primary League Contact Name *
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Primary Contact Email *
Your answer
League Insurance Provider *
If "other" Please Specify
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Team Name *
Your answer
WFTDA Ranking *
Your answer
Is your team a WFDTA charter team? (Non-WFTDA teams may apply but preference will be given to WFTDA charter members) *
Light Uniform Color *
Your answer
Dark Uniform Color *
Your answer
If accepted, has your League already agreed to and prepared to commit to traveling to Hawaii for BRAWL 2019 (June 20-23)? *
Would your league be willing to play regulation games against non-WFTDA leagues? *
Would your league be willing to play regulation games against co-ed teams? *
As an authorized signatory for my league, I understand this is an application for acceptance to the Big Island Brawl roller derby tournament June 20-23, 2019 DUE NO LATER THAN October 1, 2018 and I acknowledge that acceptance is not guaranteed upon submition of this application. I also understand that, if accepted, a minimum deposit of $250 is due NO LATER than NOVEMBER 15, 2018 and is NOT refundable, with the remaining entry fee balance of $500 due DECEMBER 31, 2018 (total $750 entry fee). Additionally, each league is responsible for any transportation and lodging expenses incurred. Tournament structure and team rankings (in regards to tournament play) are done at the sole discretion of the tournament coordinators. As an authorized signatory for my league, I authorize Paradise Roller Girls to use my league's logo and name in all marketing material for Big Island Brawl 2019 and all tournament photographs per our discretion. *
By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge and that you are an authorized signatory for your league. *
Your answer
Date: *
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