Visiting Skater Sign Up
Please fill out this for if you are planning to drop in on any Anchor City Rollers' practice. We'll be in touch with you once we receive your form. Visiting skaters are expected to abide by our code of conduct, which can be found here:

If you have questions, email us at or get in touch via social media.
Name (derby or other, whatever you want to be called) *
Roller Derby Insurance *
Insurance Number *
Emergency contact (name and phone #) *
When do you plan to attend practice? *
Are you aware there is a $10 drop in fee per practice that must be paid by e-transfer? *
How many years have you been skating? *
How many bouts have you played?
Describe your skill level (beginner, intermediate, advanced) *
Please provide your contact info (phone # and/or email address, useful in case practice gets cancelled) *
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