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
Skater/Child Derby Name
Please check here before selecting a name - duplicate names are not allowed.
Skater/Child Derby Number
Please check here before selecting a number - duplicate numbers are not allowed.
Current Skater Skill Level
JRDA level testing is conducted throughout the year - completion of testing is not required to participate
N/A: skater is new to this session
Guardian Legal Name
Person who is responsible for the skater.
2nd Guardian Legal Name (if applicable)
2nd Guardian Email (if applicable)
If your skater does not have an e-mail skip this question
How did you find out about the Junior Warriors Program?
Select all that apply
My skater is a returning skater
My Skater has a parent/friend who plays
At a bout
At a Recruitment Event
Are you a current Kansas City Roller Warrior adult league member?
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