Guest Skater Request
This application is used for those interested in attending a Southern Discomfort training session
Southern Discomfort Roller Derby
Name *
Your answer
Email *
Your answer
Derby Name *
Your answer
Derby Number *
Your answer
Current League *
Your answer
Years of Playing Roller Derby *
Your answer
Medical Condition *
Your answer
Emergency contact (name, relationship and contact number) *
Your answer
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