CJRD Skater Registration Form 2019
The next session for CJRD begins on September 11, 2019.
Calgary Junior Roller Derby practices on Wednesdays and Thursdays between 6 - 7pm at the West Hillhurst Community Association located at 1940 6th Ave NW.

Our league is co-ed and is open to youth skaters aged 6 - 17. We are an inclusive space and do not discriminate based on gender, race, sexual orientation, or class.

Your skater will be required to bring their own roller skates, protective gear (knee pads, elbow pads, wrist guards), mouth guard, and helmet. If for some reason you are unable to provide these items for your child, please contact juniors@calgaryrollerderby.com and we will see if there is anything we can help with.

The cost for registration is $50/month ($250 in total for the session), or you can prepay for a 5 month session at a discounted rate of $200/session. We also accept KidSport funding and/or JumpStart. Otherwise, please pay via etransfer to duespayment@calgaryrollerderby.com for $200/session, or you can opt for the $50/month payment structure if you prefer. Payment for the $200/session rate are due September 30th and if not paid in full by that date, you will be moved to the $50/month structure. It is your responsibility to ensure that the payments are made on time and that KidSport is approved in time to make that deadline.

Etransfer question: "What team do I skate for"
Answer: "juniors"

Please make sure to put your child's name in the notes section of the etransfer

Every skater is also required to attain CRDi insurance. It is $55/year and the instructions will be emailed out to you prior to September.

**If you are applying for KidSport, you can register and apply at https://kidsport.smartsimple.ca
**If you are applying for JumpStart, you can apply here: http://jumpstart.canadiantire.ca/en.html#apply

**if applying for KidSport or JumpStart, please select Calgary Roller Derby Association as the league you are registering for
Skater's Legal Name *
Your answer
Skater's Derby Name (if they have one)
Your answer
Skater's Birthdate *
CRDi number (if your skater has one)
Your answer
Alberta Health Care Number *
Your answer
What is your skater's experience level *
If your skater played derby before, please indicate what level they last benchmarked for
Name of parent/guardian *
Your answer
Parent's Email Address *
Your answer
Phone number *
Your answer
Address *
Your answer
Which payment structure would you prefer? *
Emergency Contact *
Your answer
Please let us know if your child has any emotional/mental health concerns that we should know about
Your answer
Please let us know if your child has any allergies or any other health issues.
Your answer
The league handbook can be found at https://drive.google.com/file/d/1pBZ2037qPgPhS761N_f6mYa0ASNjDoK7/view?usp=sharing Please read this handbook and print off the forms listed below. We need signed copies on file, please bring them to your first practice. *
Volunteering is an expectation of all members, it is what makes the league function. A $100.00 volunteer deposit cheque is required and will be cashed at the end of the session if you opt not to volunteer. Alternatively, it will be destroyed once volunteer duties have been fulfilled. *
Volunteer Positions (please select all that you are interested in)
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