E-Ville Juniors Rookie Rollers Program Registration
Juniors Rookie Rollers registration cost is $120 for the 8-week program. Rental gear is available for a $70 non-refundable rental fee. Gear must be returned at the end of the program. You will also need to purchase a mouth guard. We suggest the SISU mouth guard, which is available at any sport equipment store. You will also need to purchase skater insurance in order to participate. Sign up here: https://rdcservices.org/membership

DATES, TIMES, and LOCATION
Practices will be held on Thursdays from October 8 to November 26 at Rollers Roller Rink Inc. (14648 134 Ave NW, Edmonton AB T5L 4T4). Practice times will be 6:30 - 8:30.

Thank you for your interest in roller derby and we can't wait to show you how amazing this sport and the community are!

Please send e-transfers to financeevillederby@gmail.com
*Notes* Please include your full name and "Juniors Rookie Rollers," and whether the payment is for registration or gear cost, or both.
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Skater's Legal Name *
Skater's Roller Derby Name and number (if they have one)
Pronouns
Parents Name(s) *
Parents Email Address *
Parents Phone Number *
Primary Mailing Address  *
Alberta Health Care Card # *
Skaters Birthday *
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/
DD
/
YYYY
WFTDi or RDC Insurance Number
Skating insurance is needed, sign up here: https://www.wftdicanada.ca/join or
 *
I have read and understood the bylaws of E-Ville Roller Derby, and by checking "yes" I agree to follow them.  *
I have read and understood the Junior Roller Derby (JRDA) code of conduct and the E-Ville Roller Derby Code of Conduct, and by checking "yes" I agree to follow them. *
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