Optimus Grime & Rosie Peacock Registration
Optimus Grime & Rosie Peacock on their USA Derby Addict Tour hosted by Woodland Area Roller Derby

August 4th, 12pm-4pm
Estimated Cost (depending on the number of participants) $50-$75

First Name (Real name) *
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Last Name (Real name) *
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Derby Name *
Your answer
Date of Birth *
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Email Address *
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Phone Number *
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Skill Level *
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League Affiliation *
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