ARDL Member Form 2020
This form is for ALL people and their children, registering as an ARDL Program Member, ARDL General Member or an ARDL Social Member with Albany Roller Derby League. All Membership is Term based.

ARDL Program Member:
* Junior Roller Skate - 22 October 2020 (Term 4)
* Skate Like a Girl - 22 October 2020 (Term 4)
* Skate Fit - n/a
* Junior Roller Hockey n/a

ARDL General Member:
* Roller Derby Freshies (Thursday nights)
* Referees
* WFTDA Minimum Skills Cleared Skater

ARDL Social Member:
* Access to the Track for skating when not in use and gain access to The Track to skate in my own time. This is subject to availability and Social Members are advised to check Google Calendar for bookings in the venue.

ARDL Associate Member:
*ideal for volunteers, non-skating officials and supporters keen to get involved but with no private access to the Track



All Members:
* Free entry for themselves to Sunday Cheap Skate entry may be transferred to a child.
* Have a vote in AGM’s or Special Meetings
* ARDL Members Facebook page and email newsletter
* 10% discount on Private hire of The Track

Under 18’s are not members but their parent or carer holds the membership

General Members and Social Members:
* Access to The Track 24/7 to skate and use the gym.

Members do not receive discounts for boot-camps, roller derby games, tournaments or other events held at The Track or by Albany Roller Derby League.

Terms align with WA school terms. There is a period of crossover each school holidays when members can renew or re-enrol for programs etc. Door codes are also changed in this period. Term 4 - Members and Social Members have access until December 31 and Term 1 access starts January 1st.
Email address *
Your full name *
Your Date of Birth (Day, Month, Year)
Your child's name (if they are the one participating in the program)
Child Date of Birth (Day, Month, Year)
Address *
Your phone number *
I consent to photographs being taken of myself/my child participating in programs and events *
Emergency contact name and phone number #1 *
Emergency contact name and phone number #2 *
Do you have Ambulance Cover ? *
Medical Information - Please list any medical information we may need to be aware of for yourself/your child (e.g. asthma, diabetes, epilepsy, allergies, chronic pain):
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy