Derby Day '17 mixer signup
Please fill out all fields below to sign up for a mixer game at NJRD's first annual Derby Fest'17!
Payment information will be emailed to the address you provide.
Sign up for the mixer you'd like to play in, then choose your team below:
Rookie Regulation Game @ 10am (The Force vs. The Dark Side)
Women's Regulation Game @ 12pm (Team Mermaid vs. Team Unicorn)
Coed Regulation Game @ 2pm (Team Loch Ness Monster vs. Team Sasquatch)
Choose your team (rookie bout):
The Dark Side
Choose your team (women's bout):
Choose your team (coed bout):
Team Loch Ness
T-Shirt size (unisex):
WFTDA Insurance #:
Please confirm that you are over 18.
Yes, I am over the age of 18.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service