Training Wheels Application
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Full name *
Location *
City/State
I am over 18 *
Required
I have health insurance *
Required
I heard about your league through *
Email Address *
Phone Number *
I am interested in: *
Skating experience, if any. *
I want to play derby because *
Hobbies *
Occupation *
My social media web address *
Facebook, Google +, etc.
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