Want to be a part of Cocheco Valley Rollers?
Welcome to Cocheco Valley Rollers! Please fill out the form below and we'll be in touch as soon as possible to answer your questions and help you take the next steps to be involved in our local roller derby community.
* Required
Email address
*
Your email
Name
*
Your answer
Check any/all of the following that you're interested in:
*
Non-contact skating (no hitting)
Referee (Skating Official)
Non-Skating Official
Contact skating (hitting)
Scrimmages and bouts
Off-skates participation
Juniors team (I'm under 18)
Helping with the juniors team (I'm over 18)
Participating in other ways
Spectating at games and other events
Other:
Required
What brings you to roller derby, and Cocheco Valley Rollers in particular? How did you hear about us?
*
Your answer
Tell us a little about your background (relevant activities, skating, other sports, roller derby experience, etc)
Your answer
Have you previously been a member of another roller derby league?
*
Choose
Yes
No
Tell us a little about yourself! Anything you'd like us to know. This information will be kept private (only viewed by the applicable Board members and Committee Heads).
Your answer
What questions do you have for us?
*
Your answer
Next
Page 1 of 2
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms
