• Junior Roller Derby Enrollment Form

    Junior Roller Derby Enrollment Form

    2024-2025 Season
  • Welcome to Rockin' City! 

    Rockin' City Rebels is a junior roller derby league and National Member of JRDA in the Open Division. We are open to skaters age 8 to 17 who have completed JRDA Level 1 Skills Assessments. The Charter Team competes from January to May, with Championships occuring in June/July each year.

    All members, including parents/guardians, must abide by the Code of Conduct at all times. We encourage parents/guardians to stay and watch practices when able, however we ask that you respect the coaches at all times. Breaches of Code of Conduct will result in immediate removal without refund. 

    We look forward to skating with you this season!

    ~

    Annual Insurance Fee: $40 is collected the first month of your membership each calendar year. Discounts for siblings apply.

    Enrollment Fee: $25 is collected at the time of enrollment each year. This fee covers administrative and/or equipment costs for the league. Fee is per skater, applies to all groups.

    Junior Monthly Dues: First month's dues are required to enroll as a League Skater.

    Beginner/Level 1: Saturday-only practices, $40 per month your skater is a member of the league. All skaters must be able to skate a lap unassisted (not holding on to anything or anyone).

    Level 2/Level 3/Charter Team: Saturday and Tuesday practices, $60 per month you skater is a member of the league.

    ~

    Quad Squad: (Learn to skate for derby)

    If you need to learn to skate before enrolling in roller derby, we now have Quad Squad sessions available. At checkout, only select the Quad Squad option to enroll in the next class.

    Saturdays 8:30am-9:30am for 6 weeks, session fee is $145 per skater. Fee includes Junior Skater Insurance and skate rental at practice.

    ~

    COVID-19 Acknowledgement

    By completing this form you acknowledge that processes and procedures regarding reducing the spread of the COVID-19 virus remain a factor for our sport and league. Please respect the instructions from coaches at practice if procedures suddenly change in response to the COVID-19 virus. We will do our best to communicate any changes in writing and in advance. 

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    If you need assistance please email juniors.rcrg@gmail.com 

  • Skater’s Previous Experience

    Roller Derby is often a new sport for our skaters who are enrolling with us or any other league. We immediately begin training for Roller Derby Skills, so it is important to have basic roller skating skills on Quad Skates prior to starting Roller Derby. Skaters who do not meet this entry requirement may be asked to return at a later date or at the completion of a “Learn to Skate” program.
  • Please describe the skater's current skill level on QUAD skates*
  • Skater's Birth Date
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  • How did you hear about us?
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  • Equipment Recommendations

  • All of the equipment shown below are what we recommend as far as the level of protection for your skater. You do not need these specific brands. If you can find used equipment, be sure to check it is in good working order and fits properly.

    The equipment below can be found at:

    Medusa Skates http://www.medusaskates.com

    Zumiez https://www.zumiez.com/skate/helmets-pads/helmets.html

    Academy https://www.academy.com/c/outdoors/bike-shop/bike-helmets--pads/bicycle-pads--gloves?

    SISU https://www.sisuguard.com/sisu-aero-mouth-guard/

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  • We require helmets that fit snugly, with straps tight enough that the helmet does not slip front to back along the head.

    Bicycle helmets are not acceptable.

    Helmets with ears or spikes will not accomodate helmet covers used in roller derby. 

    Common brands: Triple8, Nutcase, S1

    A list of the helmets certified by the manufacturers to meet both the CPSC bicycle helmet standard and the ASTM F1492 Skateboard helmet standard can be found here

     

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  • We DO NOT recommend the following:

    • ”toy” skates (see image below) with the center screw in the toe stop, these are not adjustable toe stops 
    • "Moxi" high-top boot skates, these are more suited to outdoors and casual skating
    • Volleyball pads
    • Bike helmets
    • Spiked or ears on helmets (see below) 

                   

  • If you need assistance, please email juniors.rcrg@gmail.com

     

  • JRDA Forms

  • For details about this form please visit https://www.juniorrollerderby.org/age-policy

  • Parent/Guardian Information

  •  -
  • Parent/Guardian is interested in...*
  •  -
  • Does the Alternate Contact wish to receive emailed newsletters?*
  • Volunteers must complete JRDA requirements to participate with the skaters in any events, games, tournaments or otherwise JRDA hosted activity. At least ONE parent/guardian per household must complete the JRDA Volunteer Requirements.*
  • Checkout

  • Annual Insurance Fee: $40 is collected the first month of your membership each calendar year. Discounts for siblings apply. Only applies to Level 1/2/3/Charter Skaters.

    ~

    Enrollment Fee: $25 is collected at the time of enrollment each year. This fee covers administrative and/or equipment costs for the league. Fee is per skater, aplies to all groups.

    ~

    Junior Monthly Dues: First month's dues are required to enroll as a League Skater. Choose ONE:

    Beginner/Level 1: Saturday-only practices, $40 per month your skater is a member of the league. All skaters must be able to skate a lap unassisted (not holding on to anything or anyone).

    Level 2/Level 3/Charter Team: Saturday and Tuesday practices, $60 per month you skater is a member of the league.

    ~

    SPECIAL CLASS: Quad Squad (Learn to skate for derby)

    If you need to learn to skate before enrolling in roller derby, we now have Quad Squad sessions available. At checkout, only select the Quad Squad option to enroll in the next class.

    Saturday mornings, 6 weeks, session fee is $145 per skater. Fee includes Junior Skater Insurance and skate rental at practice.

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