Wicked City RD Ref and NSO Clinic
Fill out this form if you are looking to sign up for the Ref and NSO Clinic Saturday, September 21 and Sunday, September 22 in Wichita, KS. 
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Email *
Legal Name *
Derby Name
Current League Affiliation
What position(s) are you interested in learning more about?
Check all that apply.  There are skating and non-skating positions in roller derby officiating. 
Skating Officials (Refs)
Non-Skating Officials (NSOs)
Announcer
Dietary restrictions we need to be aware of
Emergency Contact Info *
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