Boston Roller Derby Training Information Request Form
Please fill out this form to request information about current Boston Roller Derby Training Programs - filling this form does not ensure enrollment in any program. Upon completion of this form, you will receive an email with full details on the current Training Programs offered by Boston Roller Derby, and the steps needed to confirm enrollment.
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Email *
First Name (as shown on Gov't ID) *
Last Name (as shown on Gov't ID) *
Age *
You must be 18yrs old to skate with Boston Roller Derby. If you will be turning 18 within three months of the orientation start date, please email Crüe at
Do you carry personal insurance? *
All BRD members are required to carry personal insurance. If you are in the process of getting insurance, please reach out to Crüe at
What is your skating experience? *
This question is meant to help us gauge which program would be the best fit for you.
If you have previous derby experience - please elaborate here
Please indicate what league(s) you were previously affiliated with, how long you played for, how long it's been since you've played, and what level you were playing at.
What is your derby goal? *
Anything else you'd like us to know about your derby/athletic experience?
How did you hear about Boston Roller Derby? *
Any specific questions?
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