Learn to Play Roller Derby Registration Form
Please tell us a little bit about yourself
Do You Have Any Skating Experience? (This helps us group skill levels during the skating portion)
Why Do You want to learn Roller Derby?
How Did You Hear About Us? Please indicate any specific event or person referred by in the "other"
Referred By A Skater
Credit/Cash during registration night
PayPal email: Rockiewho2b2@gmail
Brown Paper Tickets:
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