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.
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Name (derby or other, whatever you want to be called) *
Do you have valid Roller Derby insurance? *
Insurance Number
Emergency contact (name and phone #) *
When do you plan to attend practice? (Please provide specific dates if possible) *
Are you aware there is a $12.50 drop-in fee per practice that must be paid by e-transfer ( *
How long 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, so that we can contact you if practice gets cancelled/changed, etc.) *
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