River City Roller Derby

Email *

First Name *

Last Name *

What are your pronouns? *

Emergency Contact Name: *

Emergency Contact Phone Number *

Do you have any prior roller derby experience? *

What roles interest you? *

Skater

Referee

Non-Skating Official

Volunteer

I'm not sure, but I'm excited to be here!

Do you need to borrow skating gear? We have gear available to loan out, just let us know! *

Skates

Knee Pads

Elbow Pads

Wrist Guards

Helmet

I'm all set! I have all of the above!