Sign up here to join Eugene/Springfield's recreational roller derby team.
A fun new athletic group in Eugene/Springfield, brought to you by Emerald City Roller Derby—your local competitive roller derby league. Whether you want to become involved with our competitive teams, get into shape with a new workout, train to be a skating referee or make some great new friends on 8 wheels, this is the place to start!

For more info about ECRD, see:

- Absolutely no experience needed!
- Ages 18+
- All gender inclusive
- "No contact" or "full contact" options
- Have fun AND get a killer workout on skates in a supportive, body-positive environment
- Are you interested in becoming an Emerald City Roller Derby Official (referee)? Start your training here!
- $75 for your first 6-week sessions, then $150 for each 12-week session thereafter, payable via cash/credit card at the first session, or through paypal

Your Info
First Name
Your answer
Last Name
Your answer
Your answer
Phone Number
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Derby Name (if you have one)
Your answer
Are you a returning skater
Do you need to rent gear
Never submit passwords through Google Forms.
This form was created inside of Brassmonkey. Report Abuse - Terms of Service - Additional Terms