MARD PRIDE Mixed Open Game!
Sign up sheet for the June Pride themed MARD Mixed Open Game on June 24th!

MARD is celebrating Pride in a big way this year! On June 24th we ring in the event with a formal game against Western Mass and then a mixed open Pride game! Come be a part of our game day pride and sign-up below to be a part of the second game that day! 

There's NO fee to play! You'll get a confirmation email letting you know what team you're on by June 13th the latest. That email will have all the details you need to know. If we fill the rosters sooner, those emails will go out sooner. 

The game will be black versus white jerseys however we're encouraging skaters to add their pride flair in any and all ways possible (cool pants, makeup, costumes, etc). MARD will also have a special pride scrimmage shirt for sale!

If you have questions please reach out to or hit us up on Facebook.  

Game will be held at Teamworks Seekonk. Doors open at 4:30pm, warm-ups start at 7:30, after the first game ends. First whistle for the scrimmage is approximately at 8:00pm.  

*You must be fully vaccinated against COVID or wear a mask for the entirety of game play please*
Sign in to Google to save your progress. Learn more
What is your every day life name? *
What are your pronouns? 
What is your Derby name? *
What is your Derby number?
What is your email Address? (This is how you will be contacted with confirmation email by 6/13) *
How will you be participating? *
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)?
(All are welcome, we just want to try and make the teams evenly skilled where possible)
Clear selection
Please select your position preference?
Clear selection
Please provide us with an emergency contact name and phone number. *
I'm interested in the special Pride scrimmage shirt(s)
Clear selection
Additional Comments? (i.e. preferred ref position or first time scrimmaging with an outside league etc?)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy