Pac-man vs. Mario Mash-Up Sign Up
Please complete this form to sign up for the Saturday, November 18, 2017 Mash Up hosted by the CoMo Derby Dames. Registration is $5 and must be paid to cmddexecboard@gmail.com (via PayPal) no later than Friday, November 3, 2017. We will announce teams on Monday, November 6th via Facebook and email.
Email address *
Skater Name *
Your answer
Skater Number *
Your answer
Real Name (first and last name) *
Your answer
League Affiliation *
Your answer
Gender Identity *
Your answer
Can you verify that you've passed (in its entirety) the WFTDA Minimum Skills Test? *
Preferred Position
Skill Level *
Are you interested in or willing to be a Captain?
Preferred Team
Please complete the captcha before submitting the form.
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