2026 USARS Roller Derby National Championships Team Entry Form

2026 ROLLER DERBY NATIONAL CHAMPIONSHIPS- INTENT TO PARTICIPATE APPLICATION/ TEAM REGISTRATION APPLICATION

Aug 14-16---Skaters Edge---Grand Chute, WI
Adult Team registration Fee is $700 ( includes the nonrefundable deposit)

Junior teams will pay a total of $200 ( $100 nonrefundable intent to play + $100 final payment)

$100 Non Refundable Deposit - Intent to play due June 5th

Final Team Payments are due July 17th

Final Rosters and individual skater membership registration are due July 31st

Fees can be refundable in the event Nationals is cancelled or your team does not make it into the tournament.

Any Team that can provide 2 qualified Officials can receive a refund of $50 per official off the final payment.

League officials may apply at

https://form.jotform.com/261314936810051

All clubs/teams, coaches and skaters must be a current USARS member in good standing
Club/Team Name
Club/Team Colors
Club/team Coach
USARS Club ID Number
Club/Team Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Desired Competitive Division
Primary Contact
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Club/ Team Website and/or Social Media Pages
Payment Information

Intent to Participate- Non Refundable

$100.00

Remaining Fee After Intent to Participate- Adult Team

$600.00

Remaining Fee After Intent to Participate- Junior Team

$100.00

Full Adult Team Fee

$700.00

Full Junior Team Fee

$200.00

Total

2026 ROLLER DERBY NATIONAL CHAMPIONSHIPS- INTENT TO PARTICIPATE APPLICATION/ TEAM REGISTRATION APPLICATION