High Tide Junior Recruitment Night! April 6th @ 5:30pm

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Please fill out the form completely to register for our recruitment event.

If you have more than one skater who would like to attend, please fill out a separate form for each.

Please note that our league currently has a proof of vaccination policy for our skaters.

Event Address: Chapman Sports Complex, 11700 Knott Ave, Garden Grove, CA 92841
Contact us at hightiderollerderby@gmail.com or on instagram @hightidederby2.0

We are excited to meet your skater!

Email *

Parent/Guardian's Name & Relationship to Skater

Parent/Guardian's Phone Number

Info about the Skater

Please answer the following about the interested junior skater(s)

Skater's Legal Name *

Derby Name (if applicable!)

Skater's Pronouns *

Check ALL that apply

She/Her

He/Him

They/Them

Other:

Required

Age (skaters must be between 8-17 yrs old)

Skater's Phone Number (if applicable)

Is the Skater fully vaccinated against COVID? *

Yes

No, but I am in the process or planning to do so

No, and I have no plans to do so

Does the Skater above have Health Insurance?

All Skaters must have personal Health Insurance and be able to provide proof when officially joining the league.

Yes

Clear selection

What is your current skill level? (No worries, we welcome all levels!) *

I've never skated before and want to learn!

Beginner

Intermediate/Advanced

Have derby experience

Other:

If you answered "have derby experience" above, please provide some info on that experience (flat or banked track, how long, what league).

What gear do you already have? *

Check all that apply

Skates

Helmet

Wrist guards

Elbow Pads

Knee Pads

Mouthguard

Required

Instagram Handle

We would love to follow you!

Will you be attending the recruitment event? *

Yes, we'll be there!

We would like to attend, but we already have something scheduled that evening.

Question(s) for High Tide Derby

We will be closing out the evening with a question and answer session. Please provide any questions you have now so we can be sure to have the information for you. It's okay if you can't think of any now, we'll still be able to answer any questions you have at the event.

How did you hear about this event? *

Social Media

High Tide Skater

Flyer

Mailing List

Other:

If you heard about us from another skater or at an event - who was it and/or where?

Can we add you to our mailing list?

Yes

Clear selection

Questions/Feedback: Please let us know if you have any questions before the event and we will reach out with answers as best we can.

Questions/Feedback before the event:

Thank you for your interest! We'll be in touch soon!

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

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