Skater Information
Please fill out all the information to enroll your child with the Pittsburgh Derby Brats
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First Name *
Last Name *
Pronouns
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Date of Birth *
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DD
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What year will you graduate high school?
Can you skate ? *
No
Mastered
Can you skate backward?
No
Mastered
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How did you hear about roller derby?
Do you know any Pittsburgh Derby Brats? If so, who?
Why do you want to play roller derby?
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