2019/2020 WFTDi Canada East Online Membership Form
Welcome to the WFTDi online membership form.
PLEASE NOTE IF YOU ARE SIGNING UP WE NEED AT LEAST 24 - 48 HOURS TO PROCESS THIS INFO. WE WILL RESPOND TO YOUR EMAIL TRANSFER AND PAYPAL WITH YOUR WFTDi# - SO PLEASE WATCH YOUR EMAIL - AND JUNK EMAIL!
YOUR CONTACT EMAIL REGARDING YOUR MEMBERSHIP IS
Once your membership is processed and PAID we will email you individually with your membership info - please provide a legitimate email address so we can do this. If you have not paid we will not email you.
You are not covered by WFTDi insurance coverage until you have filled in this online form AND PAID your membership fee. Please read all the info here to understand the process. Payment info is at the bottom.
Please note once your information is processed and a email sent with your membership card info and payment processed we do not issue refunds.
The WFTDi Canada accident insurance is for Canadian Leagues and Canadian skaters who belong to Canadian leagues. If you are a Canadian skater that belongs to a USA league you must purchase WFTDA USA membership not WFDTi Canada.
WFTDi will post your info received from this online form into your home league database.
Please only fill in this online form ONCE.
WFTDi FULL MEMBERSHIP is $55 and runs year round. Your membership will start the date indicated by the MEMBERSHIP ACTIVATION DATE question. If you do not answer it will start the day we process the membership and run for 365 days.
2019/2020 Apprenticeship is $30. Apprentice Skaters are BRAND NEW to derby. Apprenticeship allows you to try derby for 90 days in a New Skater Program. You are NOT covered to skate in any games or scrimmages outside your league.
We no longer offer the $25 upgrade package after purchasing the $30 apprentice. After 90 days if you continue to skate the fee is $55 and a 12 month membership will be issued. If you are sure you will be skating past the 90 days purchase the $55 full membership which is good for 12 months.
INDEPENDENT SKATERS must be over the age of 18 and have 3 years experience playing roller derby. Any independent skater that is picked up to play by a league to play in a game must pass minimum skills tested by that league before the first game. Paperwork must be dated and signed off and is good for that league for one year. Each league must do this for any independent skater. If the Independent skater plays with 3 leagues each league must test the minimum skills. The yearly fee for Independent skaters is $60 for 12 months.
Out Of County - No longer offered by WFTDi Canada. You must purchase WFTDA insurance.
After you have set up an account, you may purchase insurance using the “Purchase WFTDA Insurance” link, which can be found in your home page.
2019/2020 Steps to ensure membership
Step ONE: PAY for your membership - we will ONLY email you and confirm membership when CRDi receives your payment. Please note you are not covered to skate until payment has been received and processed. Processed means we have emailed you CRDi membership info.
SQUARE PAYMENT -
If you want to pay using your credit card please use the SQUARE links at the bottom of East Skater Page.
EMAIL TRANSFER PAYMENT - send $55 only!
If you want to pay by email transfer send payment to
<-----(NEW EMAIL)make sure you spell the email address right! And email transfer $55 - $60 if you are an Independent Skater
PLEASE include your real name and the league you belong to in the email transfer MESSAGE box available to you when completing the email transfer at the very end(this is especially important if someone else sends the money for you and does not include your info. When we process the payment we immediately respond. If we do not respond we have not received your payment. We do not accept payments if we cannot match them up to a signed up skaters name. After 15 days of being unable to match payment to a skater we will decline the payment.
The Email Transfer Security Question to ask is: What sport is this for?
The answer is: rollerderby
If your bank requires a number be added to the answer make it rollerderby2020
DO NOT SEND US EMAIL TRANSFERS with the wrong security question and answer - we will decline them.
WFTDi does NOT accept Hyperwallet OR personal cheques from skaters.
WFTDi does not issue refunds.
Reminder: You are not covered to skate if payment is not received.
WFTDi does not offer refunds once membership is processed.
Please press SUBMIT at the end of this form. You should receive this response:
"2019/2020 East WFTDi Membership Form Database
Your response has been recorded."
2019/2020 WFTDi East Online Membership Form
(October 12 to December 31, 2019)
Province you live in
Prince Edward Island
North West Territories
Skaters First Name
Legal name - no nicknames - must match your DL or passport - you are responsible for spelling your name correct here. PLEASE use applicable capital letters at start of your name.
Skaters Last Name
Legal name - no nicknames - must match your DL or passport - you are responsible for spelling your name correct here. PLEASE use applicable capital letters at start of your name.(if your email transfer or payment has a different last name please make sure you include message in email transfer or processing will be delayed)
Please indicate numerical date born 1 - 31
709 Roller Derby
709 Rolla Club
Alliston Junior Roller Derby
Anchor City Rollers Club
Avon River Rollers
Barrie Junior Roller Derby (South Simcoe Rebel Rollers)
Belleville Roller Derby
Bootleg City Roller Derby/Red Rock 'n Roller Derby
Borderland Roller Derby
Cape Breton Roller Derby
Cape Breton Junior Roller Derby
Capital City Rollers
Charlottetown Junior Roller Derby
Cochrane Derby Gurlz
Cochrane JR Derby Gurlz/Polar Rollers
Cornwall Roller Derby
Crow City Roller Girls
Cumberland County Roller Derby
Durham Region Roller Derby
Festival City Rollergirls - Ravens of Ruin
Festival City Rollergirls - The Decapulettes
Fredericton Junior Roller Derby Association
Fog City Rollers
Georgina Roller Derby League
Gold City Roller Girls
Greater Sudbury Roller Derby
Grey Bruce Roller Derby
Hamilton Area Roller Derby
Hamilton Area Roller Derby - Flat Track Brat Pack
Hammer City Roller Derby
Hammer City Roller Derby Juniors.
Highland District Derby
Hub Town Hard Cores
Humber Valley Derby Dolls
Hogtown Roller Derby
Iron City Roller Derby League
Kenora Roller Derby
Kingston Roller Derby Girls
Kingston REC'n Rollers
Kirkland Lake Roller Derby
Lindsay Roller Derby
London Middlesex Roller Derby
London Middlesex Roller Derby - JR
LOCO Roller Derby - Brantford
LOCO Roller Derby - Kitchener
Misfit Militia * PLEASE SIGNUP AS ORANGEVILLE ROLLERGIRLS
Misfits of Menace Roller Derby
Montreal Roller Derby
Montréal Roller Derby Jr
Montreal Men's Roller Derby (Roller Derby Masculin de Montréal)
Men's Ottawa Roller Derby (MORD)
Muddy River Junior Rollers
Muddy River Rollers
Niagara Roller Girls
Niagara JR Roller Girls
Nickel City Roller Derby
Nickel City Roller Derby - JRS
Nipissing Roller Derby
Norfolk County Roller Derby
Northumberland Roller Girls
North Shore Roller Derby
Ottawa Roller Derby
Ottawa Junior Roller Derby
Ottawa Quad Rollerskating Club
Ottawa Valley Roller Derby
Peterborough Area Roller Derby
Renegade Derby Dames
Renfrew County Roller Derby
Rideau Heights Junior Roller Derby
Roller Derby Misfits
Riptide Rollers Association
Royal City Roller Derby
Rouyn-Noranda Roller Derby
Saint John Junior Roller Derby
Saint John Men's Roller Derby
Sarnia Roller Derby League
Sarnia Roller Derby League - JR
Sault Roller Derby
Seaway Roller Derby Girls
South Simcoe Rebel Rollers
The Regulators (Ref Only League)
Temiskaming Roller Derby
Thunder Bay Roller Derby League
Thunder Bay Junior Roller Derby League
Toronto Junior Roller Derby
Toronto Roller Derby
Toronto Men's Roller Derby
Tri-City Roller Derby
Tri-City Junior Roller Derby
Tri-County Roller Derby
United Roller Derby
Wellington Roller Derby
West End Waywards
West End Waywards - Juniors
Wharf City Rollers
WINDSOR ROLLER DERBY
Please provide Health Care Number #
It is mandatory that you provide us with your health care number (this info is needed for iA the accident insurance part of your membership)- if you can not find it you must submit it to your league within 30 days. Your membership card will not be issued until we have this info. Leave a message if you do not have it and why - we will email you back regarding this section)
Province Health Care Card issued
Please put the province your health care number was issued
North West Territories
Prince Edward Island
We NEED each skaters/parents email address. WFTDi emails each skater (not your league) a PDF card with your membership number and responds to the payment email . Spelling counts and we will not be held responsible for delays due to you giving WFTDi an incorrect email address.
Type of Membership you need
WFTDi 12 month membership is $55. WFTDi Apprenticeship is $30 and good for 90 days ONLY - Please note we no longer offer the 9 month upgrade for $25. Purchase the 12 month $55 membership if you know you will be skating for more than 3 months.
2019 SR Membership $55 (For Sr. skaters – over the age of 18) (New Skater)
2019 SR Membership $55 (For Sr. skaters – over the age of 18) (Existing Skater - Renewing)
2019 JR Membership $55 ( Minor/Jr. skaters – under the age of 18)(New Skater)
2019 JR Membership $55 ( Minor/Jr. skaters – under the age of 18)(Existing Skater - Renewing)
I am a BRAND NEW SKATER wanting apprenticeship membership for 3 months $30
2019 SR INDEPENDENT SKATER $60 (OVER 18 plus 3 YEARS EXPERIENCE - Payment by Email Transfer ONLY)
MEMBERSHIP ACTIVATION DATE: If you are a BRAND NEW SKATER enter program start date: If you are a skater renewing enter date renewal needs to start. Insurance will start on this date.
When paying via email transfer, Email:
Security question to ask is: What sport is this for. Answer: Rollerderby PLEASE NOTE VERY IMPORTANT: you need to put your name and league you belong to in the email transfer comments area. If you send the wrong question and answer we will decline and void email transfer.
email transfer to
SQUARE (for credit cards) - use link at the bottom of EAST SKATER page
Please read the below statement and print YOUR FULL REAL NAME/Parent name for youth in space given below.
Waiver/Release: I, hereby, do affirm the above to be correct and truthful and hereby make application to Canadian Roller Derby Info and Services, "CRDi", now owned and run by WFTDi/WFTDA for membership and coverage to play the sport of Roller Derby. I agree to abide by the policies of WFTDi upon this registration. I acknowledge to WFTDi, its directors, officers, employees, CRDi Roller Derby Leagues and representatives that any costs and expenses in respect to my death, injury, loss or damage to my person or property, howsoever caused will be covered by the accident policy coverage shown on the CRDi website for which part of the membership fee purchases. I acknowledge that I have read this document and have had an opportunity to obtain an explanation as to its contents. i does not issue refunds. PLEASE PRINT SKATERS NAME IN BOX BELOW
Please let us know if you have extra insurance.
Did you know that WFTDi coverage does not cover you for lost wages if you are off due to an injury! Please protect yourself if you do not have extra insurance. You are playing a contact sport and accidents can and will happen. Educate yourself as to protection you will need if you are hurt and off due to an injury. This is not a mandatory question. Please skip if you do not wish to answer.
I do not have extra coverage other than Provincial Health Care and CRDi
I have extra coverage through work
I have extra coverage through work and I purchase extra accident insurance
I purchase extra insurance that covers me for injuries that could incur from playing derby.
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