FREE Come & Try - Learn to Skate & Play Roller Derby
💎 Fill out this form to join our free Come & Try session on Sunday 26th April 2026 at 2pm 🛼

Have questions? Email us at info@dvrdc.org.au
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Email *
Skaters Legal Name *
Skaters Preferred Name  *
Skaters Pronouns (eg they/them, she/her, he/him) *
Skaters Phone Number *
Skaters Date of Birth (Must be 15 years or older) *
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Skaters Next of Kin Name & Phone number in case of emergency *
Do you need to Borrow Skates? (Please tell us your shoe size) *
Do you need to borrow Protective Gear? (Please tell us your clothing size) *
Tell us about your skating experience. 
(We have diverse skill levels in our classes and welcome people who have never skated to competent skaters)
 *
Is there anything you would like us to know about your health and how we may be able to support you? (eg knee problems, diabetes, asthma, anxiety, autism etc)? *
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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