MARD Mixed Open Scrimmage
Sign up sheet for the May MARD Mixed Open Scrimmages

Please bring both Black and White jerseys; teams will be assigned the night of!  We do not send confirmation emails, however if you have questions please reach out to or hit us up on Facebook.  There is a 5$ drop-in fee per scrimmage. 

Scrimmage will be held at Teamworks Seekonk. Doors open at 7:30, warm-ups start at 8:00, and the first whistle is approximately at 8:20pm.  We play on sport court so it's fairly slick. 

*You must be fully vaccinated against COVID or wear a mask for the entirety of the event please*
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I am coming to: *
What is your legal name? *
What are your pronouns? 
How will you be participating? *
What is your email Address? *
What is your Derby name?
What is your Derby number?
What is your WFTDA/USARS insurance policy number? (for skaters and skating officials) *
What league are you a member of? *
Do you have any severe allergies or medical conditions that we should know about?
What is your skill level (for skaters only)?
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Please select your position preference?
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Please provide us with an emergency contact name and phone number.
Additional Comments? (i.e. preferred ref position or first time scrimmaging with an outside league etc?)
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