SRDL Skater Development Program (Level 1) March 2020

Before we can get you on the track, we need you to fill in some paperwork.
Please complete all sections listed below.
Email address *
Legal Name *
Preferred name:
What do you go by on Facebook?
Email address *
Date of Birth *
Postal Address *
Contact Phone Number *
Are you an Indigenous Australian, or a First Nations person from another country?
Sydney Roller Derby League is committed to finding ways to address the lack of representation for Indigenous people in our sport. With this in mind, we are waiving our $120 course fee for Indigenous skaters to join our Level 1 Introduction to Skating Course. On the next page, if this applies to you, please only transfer payment for the Skate Victoria Membership (our compulsory insurance provider). If you have any questions, please contact
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