November 17 Open Practice Registration
If you plan on skating, please fill out the following form. Date: November 17, 2021. Location: Great Brook School, 16 School St, Antrim NH 03440. Time: Doors open at 6, practice will start at 6:30.

MASKS are required at all times, and depending on Covid numbers, 3 foot distance may also be required. This practice will focus on skills, drills, and footwork. It is a great way to get back onto skates and back into derby!

$5 will be collected at the door. Cash, check, or card accepted. Hold Harmless forms will also need to be signed at the door. Furniture dots will be provided to minimize floor damage.
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Email *
Real life name:
Derby Name:
Derby Number:
I have _____ experience:
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My WFTDA (or other)  insurance # is:
Insurance is REQUIRED. If you do not have insurance at the moment, you can get it for the day through our league. There will be an additional fee.
The league I skate with (or plan to skate, or was a part of before COVID) is:
Additional information we need to know or you want to share:
A copy of your responses will be emailed to the address you provided.
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