JUNIOR INTRO TO ROLLER DERBY

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

JUNIOR INTRO TO ROLLER DERBY - TERM 4- 2021

INTRO TO ROLLER DERBY 2021 - KICKS OFF ON Tuesday 5 October 2021

Are you between 12-18? THIS IS PERFECT FOR YOU!!!!

This program is running for 10 Sessions on Tuesday nights from 5.30-7.30p

Come and join our 10 week Intro to Derby program happening on Tuesday nights 5.30-7.30p
It’s only $100 for the 10 week program.

We can provide skates and safety gear in need. Just indicate it on our rego form. Alternately, you can bring your own. (Quad skates, helmet, knee pads, elbow pads and wrist guards). You will need a mouthguard for this program.

- Find out all about Roller Derby - the what, they why and the HOW!
- Learn how to skate safely
- Learn all the skills you would need to play at whatever level you’d like!
- Want to skate but more interested in being a Referee? This is for you, too!
- We’ll ease you into the game play to make sure that you’re confident, strong and kicking butt

Tuesday nights, 5.30-7.30p. Starts Tuesday 5th Oct, 2021.

VENUE WILL BE CONFIRMED VIA THE FACEBOOK GROUP AND EMAIL (Either Irymple Leisure Centre or Mansell Reserve Netball Courts).

Find us on Facebook here!
https://www.facebook.com/mildurarollerderby/

Can't wait to see you on the track!

Mildura Roller Derby League

WWC is completed and approved for our Coaches.
Fully accredited coaches

PS. There is an annual 'membership' fee of $40 payable directly to Skate Victoria. The link will come through in the email confirmation. As well as the Banking details for direct deposit of your term payment. If you've skated with us already in 2021 don't pay this again!

Email *

Full Name of Junior Skater *

Legal Parent / Guardian Full Name *

Junior Skater Date of Birth *

YYYY

Parent Guardian Phone Number *

Preferred Pronouns of Junior Skater *

She/her

He/Him

They/Them

Have you skated previously? (NO EXPERIENCE NECESSARY - but just for us to get a feel for our group!) *

Yes

Roller Blades

Other:

Have you got your own skates? *

Yes

If not - we have you covered! What is your usual US/AU shoe size? *

Have you got your own protective gear? (Helmet, Knee & elbow pads & wrist guards) *

Yes

Protective gear size (knee & elbow pads, wrist guards) *

XXL

NA I've got my own gear!

Other:

Are you ready for the BEST FUN EVER? *

Yes

Hell Yes

Nervous as ever but YES YES YES

There will be some low-level contact in this program, but only to the level that your child is comfortable. There will be times that our junior skaters and adult skaters will skate together. Please confirm that you give permission for your child to participate in this program. *

Yes, I give permission for my child to join the Intro To Roller Derby Program, run by Mildura Roller Derby League/SkateFit Sunraysia

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms