Registration Fee Waiver Request
We at CDD want to make roller derby available and accessible to anyone who wants to join. We understand that money can be an issue at times. While we must have monthly dues for our league members to off-set the costs of running the league and business, we have hardship and support options available to members should the need arise.

Please complete this form and send an email to training@charlottesvillederbydames.com when you are finished.  Thank you!  
Sign in to Google to save your progress. Learn more
Email *
Name: *
What amount are you requesting to be waived? *
The standard registration fee for the July 2023 Open Enrollment is $60. Partial fee waiver would be some amount between $0-$59, a full fee waiver would be $60. If you are needing to borrow skates and/or equipment, there is an additional $15 rental fee.
I attest that I am completing this request due to personal financial hardship which would keep me from otherwise participating. *
Please type your name below which will serve as your digital signature.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy