CDD Bootcamp Interest Form
Thank you for your interest in joining the Charlottesville Derby Dames at our February 2019 boot camp! While you do not have to fill out this form in order to join us at Carver Recreation Center in Charlottesville, VA on February 3 at 6pm, we will be able to get you on-skates sooner if you do!

There is no charge for coming to skate with us the first time and use our gear! If you love it and decide to continue to skate with us, boot camp will cost $30 in dues. You are welcome to bring your own gear! We prefer cards for payment (easier to track) but also accept cash or checks.

If able, please consider printing, signing, and bringing the waiver below, and give us a shout that you're coming so can all get HYPE. We will have copies of the waiver at Carver in case you can't print or you bring a bonus friend.

What is your name? *
Your answer
What is your phone number? (this is for administrative purposes, and in case you decide to rent gear later. We will not use your phone number to contact you unless you take our gear or get hurt, nor will we give or sell it to anyone else) *
Your answer
What is your address? (this is for administrative purposes and in case you decide to rent gear later) *
Your answer
What's your email address, in case we have follow-up questions? *
Your answer
Which Sunday do you expect will be your first day of bootcamp?
Skates: What size (in men's) shoes do you wear?
Your answer
Helmet: How big around (in inches) is your head?
Your answer
Elbow pads: How big around (in inches) are your arms just above the elbow?
Your answer
Wrist guards: How big across (in inches) is your palm?
Your answer
How big around (in inches) are your thighs above the knee?
Your answer
Please print, sign, and bring this waiver to your first practice https://drive.google.com/file/d/0B8uzP09vezb3QlZFUndwODhWYk0/view
What are you the most looking forward to about the Roller Derby Bootcamp?!
Your answer
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