Skater Registration 2025-2025
Each skater must have their own registration completed
Email *
Skater Legal Name *
Skater Birthday *
MM
/
DD
/
YYYY
Derby Name *
Derby # (Will need approval to ensure there are no team duplicates) *
Pronouns *
Street Address
City *
State *
Zip Code *
Phone # (This should be a number where parent/guardian can easily be reached) *
May your phone # receive texts? *
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