Madison Roller Derby Training 2017 Interest Form
Please complete the following form to be added to our list of individuals who would like to be contacted when the next Madison roller derby training session dates and information becomes available.

Mad Rollin' Dolls will be offering a contact-level training opportunity this Summer for those who already have some roller derby skating experience, called the "Skate to Learn" level. Fill out the information below to be contacted with assessment date/time information once it becomes available. More information to come.

If you are new to skating and/or roller derby, MRD’s recreational team, Wreckers, will be offering a summer "Learn to Skate" session where beginners can learn basic skating skills. Many of our current MRD home team and Dairyland Doll skaters got their start in the Wreckers program. Fill out the information below to be contacted with additional information on the Learn to Skate option this summer!

Tentative start date of this session is June 13. Skate to Learn level practices will run Tuesday 5:30-7:30 & Thursday 4:30-6:30, and Learn to Skate level practices will run Wednesday 4:30-6:30 & 8-10am Saturday.

Questions or concerns? Email: training@madisonrollerderby.org or wreckers@madisonrollerderby.org

Legal Name
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Derby Name (if applicable)
Your answer
Derby Number (if applicable)
Your answer
Email
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Phone Number
Your answer
Do you have previous roller derby experience?
If yes, please describe previous experience. Example: What program/league you skated with, length of time participated, whether or not you have had contact experience, whether or not you have scrimmaged.
Your answer
Do you have WFTDA insurance? Yes or No
WFTDA Insurance Number
Your answer
Other Comments?
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