LOCO Kitchener Pride Bout (June 11) Player Sign Up Form
Sign up form for players for LOW CONTACT Adult Game
SUNDAY June 11th, 2023, 2 p.m - 4p.m
Grand River Arena Heritage Drive Kitchener

Information here will be used to form parity between both teams. Please bring both a black and white jersey. 


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What is your real name (first & last)? *
What is your derby name?
What is your jersey #
What is your level of play? *
What positions do you play? (check all that apply) *
Required
What team do you current skate with? *
Required
Insurance # (Required for all skaters) *
I understand that this is a Low Contact bout, and will modify my level of play accordingly. *
Hitting: ACCELERATION TO BLOCK is not allowed. After initial contact is made gently, blockers can apply force to legal target zones with legal blocking zones. Picking up skates to lean into an opponent is allowed. Skating or stepping into an opponent to block is not allowed; both of these are considered ACCELERATION TO BLOCK.

This means that jammers have to slow down before attacking the pack (unless there is a clear path) and blockers must make contact before pushing/shoving).  Many full contact skaters regularly play in low contact games.     
I agree to pay $10 to participate as a skater in this bout. *
Email address *
Emergency Contact (name & telephone) *
We can't wait to see you on June 11th. 
Please arrive one hour before game time :) Have fun!!
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