2020 Kansas City Roller Warriors Junior Derby Sign-Up
Please complete the entire sign-up package. You'll know you're finished when you get the following message: Your sign-up is complete!
Skater/Child Legal Name *
Your answer
Skater/Child Derby Name *
Please check here before selecting a name - duplicate names are not allowed. https://goo.gl/YVdJzX
Your answer
Skater/Child Derby Number *
Please check here before selecting a number - duplicate numbers are not allowed. https://goo.gl/YVdJzX
Your answer
Current Skater Skill Level *
JRDA level testing is conducted throughout the year - completion of testing is not required to participate
Guardian Legal Name *
Person who is responsible for the skater.
Your answer
Guardian Email *
Your answer
2nd Guardian Legal Name (if applicable)
Your answer
2nd Guardian Email (if applicable)
Your answer
Skater Email
If your skater does not have an e-mail skip this question
Your answer
Home Address *
Your answer
How did you find out about the Junior Warriors Program? *
Select all that apply
Required
Are you a current Kansas City Roller Warrior adult league member? *
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