NRD intake - interest form
Please fill in this form to be notified when our next intake will be. We'll send you an email with the full registration form a few weeks before the intake, a few days before it goes out on our Facebook page and website. There will be limited spaces available so keep an eye out and add to your contacts so it doesn't go into your junk mail.

Our roller derby league is not for profit and is run by the members in their spare time, so to make the sign up process take less of our time we've created this form (more time to concentrate on skating!)

First Name * *
Your answer
Last name *
Your answer
Email address: *
This is how we will contact you to let you when registration will start so make sure it's right, otherwise we won't be able to let you know.
Your answer
Mobile number:
We'll also send a text to say we've emailed you with the registration form (some people got the email in their spam last time and so didn't realise and missed out on a space)
Your answer
What is your experience level?
Which intake(s) are you interested in? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms