Rocket City Roller Derby Interest Form

SAME LEAGUE, SAME VALUES, NEW NAME.

Introducing Rocket City Roller Derby!
Rocket City Roller Derby League Interest Form

Help us connect you with our league! Let us know your interest and we'll make sure you're introduced to the right people!
Name:*

First NameLast Name
Email*
We will reach out to you about practice details!
Phone Number*
Please enter a valid phone number.
Are you 19 years of age or older? If 18, will your parent or guardian sign a consent form?*

YesNo
What best describes the roles you're interested in with Rocket City Roller Derby?*

I'd like to be a Skater!Teach me about being a Skating Official (I'd like to officiate bouts while on skates)!Talk to me about becoming a Non-skating official (I'd like to officiate while NOT on skates)!I'd like to volunteer and be part of the league!Other
Should be Empty:

SAME LEAGUE, SAME VALUES, NEW NAME.