New Member Pre-Registration
Hello thank you for showing interest in Springfield Roller Derby!
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Full Name *
Pronouns *
Date of Birth
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DD
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YYYY
Email *
Phone Number
If you have a Facebook, what is your handle? If this doesn’t apply NA *
I am interested in being a: *
Do you have any roller skating experience? (It is ok if you do not) *
Practices are typically Tuesdays and Thursdays from 6:30pm-9:30pm. If there is enough new skater interest there would be an opportunity for a different night. What night(s) would work for you?
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