Cape Cod Jr Roller Derby Level 1/2/3 Scrimmage Signup
Hi junior derby leagues,

Cape Cod Jr Roller Derby is hosting a Level 1/2/3 scrimmage on August 6th at Cape Cod Community College. This is the 1st game in a double header with Cape Cod Adults taking on the Brockton Bruisers in a Short Track match after this event. Depending on sign ups, this will either be a CCJRD vs the World, or a Black vs White event. This is NOT a sanctioned bout.

Please do us a HUGE favor, and pass this sign up along with the information to your skaters and families.

We are looking for 15-30 skaters total to make the event a success. Skates need to be level 1/2/3 based on determination from their home league. We will try to make teams in advance, but please bring both BLACK and WHITE shirts. Each player gets a caregiver in for FREE.

Please fill this out before July 25th to participate.
Date: August 6, 2023
Time: Doors open at 12 - First Whistle is at 1pm
Location: Cape Cod Community College
                  2240 Iyannough Rd
                   West Barnstable, MA
                   02668  

This is a family friendly event and spectators are welcome and encouraged. Concessions, and merch will be there.

For questions, email: training@capecodrollerderby.com
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Email *
Skater's legal name (first, last) *
Skater's date of birth *
Derby name *
Derby number *
League your skater currently skates with *
Current level of play *
If your L3 skater is under 14, there will be an additional waiver at the door to be signed.  A caregiver will need to sign for the skater *
Legal Guardian name (first, last) *
Legal guardian phone number *
Emergency Contact name (first, last) *
Emergency Contact phone number *
Please list any pertinent information we need to know about this skater. (allergies, medical, physical, ect)
We are in need of officials for this event, both on and off skates.  If you or somebody you know can help, please send along this link.  Many NSO positions are easy to learn and offer the best seat in the house to watch the action.  https://forms.gle/Zh13AtC6ZrYcFZfTA
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