Join Cedar Rapids Roller Derby!
We are now accepting new recruits!  Our recruitment nights will be Feb. 11th and 18th.  Please fill out this form and a member of Recruitment will contact you about upcoming Recruitment days for the spring, plan for February.
Sign in to Google to save your progress. Learn more
Email *
Name (First and Last) 
 *
Pronouns (ex. She/her, He/his, They/Them, other)
 *
Are you 18+? *
How would you like to be contacted? *
Required
Phone number *
What role are you interested in?  *
What date will you be trying us out? *
Are you a Transfer Skater
Clear selection
How did you hear about us? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms