2018 Jingle Brawl
This event is a family oriented, FUN scrimmage open to skaters, ref's and NSO's of a variety of skill levels held at a university-affiliated venue that promotes a positive, inclusive atmosphere. Unsportsmanlike and/or profane conduct will not be tolerated. You must have passed minimum skill in order to participate as a skater.
What is your real name?
What is your derby name?
What is your derby number?
What is your email address?
Which scrimmage will you be participating in? (only select one)
All gender scrimmage
What is your WFTDA/MRDA/USARS insurance number?
Which position do you play?
How many bouts have you played in?
None, this will be my first derby action!
What is the name of your league?
Upon completion of this form, please send the $10 registration fee to
via PayPal or alternatively email us to let us know you will be paying the day of the event if you do not have PayPal
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