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Mid-Hudson Misfits Skater Info
Welcome to the Mid-Hudson Misfits! Please take a few minutes to fill out the following form. Please contact a skater with any questions.
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Preferred name
Your answer
Derby name (leave blank if you don't have one...yet!)
Your answer
Derby number if you have one
Your answer
Pronouns
*
She/her
He/him
They/them
Other:
Required
How did you find us? Why the Misfits? Why Roller Derby?
*
Your answer
What experience do you have with roller derby and roller skating? Have you passed your minimum skills or played in a bout? How many seasons have you played ?
*
Your answer
Interested in being
*
A skater
An official
A volunteer
all of the above
Other:
Required
Where do you reside... county, neighborhood and/or address? (per comfort level)
*
Your answer
Phone #
*
Your answer
Do you have any injuries or other health concerns that the coaches should be aware of? or N/A (answer will be put into a binder in the rink that anyone can access in an emergency situation)
*
Your answer
Do you require any disability-related accommodations? or N/A (answer will be put into a binder in the rink that anyone can access in an emergency situation)
*
Your answer
Do you have any dietary restrictions and/or food allergies? or N/A (answer will be put into a binder in the rink that anyone can access in an emergency situation)
*
Your answer
Shirt Size and preferred cut ("mens"/unisex or "womens")
Your answer
Shoe Size
Your answer
Do you drive and have access to a car?
Yes
No
Clear selection
Do you need or prefer to carpool?
Yes
No
Clear selection
When's your birthday? (month and day) 🥳
Your answer
and just for fun 😄🙃 anything else you want to share, ...special skill ...fun fact.... 😁
Your answer
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