Reckless Rollers Registration
Interested in giving roller derby a try? Use this form to register for Bay Area Derby's Reckless Rollers program. In order to skate with Reckless Rollers we ask that you be comfortable on skates, meaning you don't need anyone to assist you with skating around the track.

Your first class is FREE! Details will be sent via email once you have submitted this form.

First and Last Name *
Your answer
Nickname
Derby name or what you go by for short. Will also be the name on your forum account.
Your answer
Email Address *
Your answer
Phone Number
Your answer
What are you looking for in Reckless Rollers?
Hoping to try something new and meet people? Looking for a new way to stay fit? Hoping to become a roller derby superstar? Tell us what you'd like to get out of your Reckless experience.
Your answer
Skating/Athletic Background
If you have any history in skating or other sports, let us know. This will help us prepare practices for your level.
Your answer
Let's talk about gear!
Participating in Reckless Rollers requires quad roller skates, helmet, knee and elbow pads, wrist guards and a mouth guard. We have limited gear available for rent or sale.
I have it.
I need to rent/buy it
Skates
Helmet
Knee Pads
Elbow Pads
Wrist Guards
Mouthguard
What shoe size do you wear (in women's)?
Only answer if you need to rent skates
Your answer
Do you already have WFTDA Insurance?
In order to skate in Reckless Rollers (after your first free class) you must have WFTDA insurance. The cost is $75 per year - you can pay after your first free session.
Gender
Required for WFTDA account creation
How did you discover Reckless Rollers?
Submit
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