GCRD Medic Interest
Gem City Roller Derby is looking for medical professionals to staff our games for the 2024 season. Please fill out this form if you are interested in volunteering!

Per game Stipend and game entry for (a limited number of) friends/family provided for medical staff!

Contact  gcrd.safety@gmail.com with any additional questions/concerns!
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Name *
Email Address *
Phone Number *
Preferred Contact Method *
Required
Are you a licensed medical professional? *
Including, but not limited to: 
● Certified First Responders (CFRs), Emergency Medical Technicians (EMTs), or Paramedics 
● Physician with sports medicine, orthopedic, and/or emergency medical experience 
● Athletic trainer with CPR training 
● Licensed Practical or Registered Nurse with current CPR training and sports medicine, orthopedic, and/or emergency experience
 ● Nurse Practitioner or Physician’s Assistant with current CPR and sports medicine, orthopedic, and/or emergency experience
Are you available any of the below dates in Dayton, Ohio? *
Yes
No
Maybe
May 4
August 24
September 28
Questions/Comments/Concerns or anything else you'd like us to know? 
Submit
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