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ARD All-Gender Mash-up Registration
Event:
Christmas in July vs. Summerween
Date:
July 19
Location:
Blackham Coliseum, Lafayette, LA
Time:
Immediately following the first game
Fee:
$15
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Skater Information
Legal Name
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Derby Name
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Derby Number
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League Affiliation (if any)
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Email Address
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Participation Info
WFTDA or USARS insurance number
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Primary Position
Jammer
Blocker
Pivot
Mostly Block, but will Jam
Mostly Jam, but will Block
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Do you have a team preference
Christmas in July - Green
Summerween - Black
Doesn't Matter
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