Hipcheck U Registration

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Skater name:

Legal name:

WFTDA insurance number:

Email address:

Phone number:

League affiliation:

What league do your skate with?

Date of your last WFTDA skills assessment:

Please list the month and year of your last passed WFTDA minimum skills testing, ie. January 2014.

Team affiliation:

What team within your league do your skate with?

I have not yet made a team.

I skate with a home team.

I skate with our C team.

I skate with our B team.

I skate with our A team.

Other:

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Skill level:

*All skating participants must have passed WFTDA minimum skills in the past 12 months.

Freshman - You are newer to derby strategy and want to develop some of the more basic skill sets for the sport. You have been with your team for one season or less and want to focus on really getting the fundamentals of the sport down to improve your foundation. Classes focus on blocking and jamming form, footwork, and basic strategies in typical situations. No specific skill set necessary, but you should have passed WFTDA minimum assessments to participate.

Sophomore - In addition to having passed WFTDA minimum skills, you have been with your team for at least one full season, and have been rostered for games. Most of your basic skate & derby skills are solid and you are looking to improve your stops, footwork, lateral movement, partnering, and other intermediate skills. To be a Sophomore, you should be proficient in plow stops, backwards skating, jumping, and have a basic understanding of rules and strategy.

Junior - In addition to passing WFTDA minimum skills assessments, you have been playing derby for more than a year. You are regularly rostered with a home or travel team. You have a pretty good idea of what is going on around you on the track and are able to block and jam successfully in a game setting. You can hold your own against opponents. To be considered a Junior, you should have a firm grasp of: a variety of stops, backwards skating with lateral movement, transitions from forward to backwards skating, and jumping.

Spectator - You are a coach, trainer, or injured skater who wants to observe the clinic.

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How long have you been playing roller derby?

< 1 season

1-2 seasons

3-4 seasons

> 4 seasons

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Helpful dietary info:

Please help us provide an inclusive midday snack.

Gluten-free

Vegetarian

Vegan

None

Other:

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How did you hear about this Clinic?

If from another skater, please select "Other" and list their name!

Facebook

Twitter

My league leadership

OHRG website

Other:

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I have read and understand the terms and conditions of the Clinic:

Terms and conditions: You must be 18 years old to participate. This is not a co-ed clinic. You must have current WFTDA insurance to participate. A midday snack will be provided, participants are expected to bring their own lunch and water. No spectators allowed without a purchased spectator pass. No refunds on admission will be issued. Exchanges to eligible skaters will be permitted with OHRG approval up to 1 week before the clinic.

Yes.

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