PSRD New Recruits

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PSRD New Recruits

Let us know a little about you and your current skills. We will contact you soon to talk about how to get you started with Peach State Roller Derby.

First Name *

Last Name *

Preferred Pronouns *

Derby Name (if applicable)

Email Address *

Are you okay with PSRD adding your email to a group list as well as Google Chat for quick communication? *

Phone Number *

Home Address *

Emergency Contact Name *

Emergency Contact Number *

WFTDA Insurance Number (if applicable)

Are you at least 18 years old? *

Yes

Other:

Please select your roller derby experience *

Please review the skills listed in the New Skater Training site: https://newskaters.peachstaterollerderby.com (Also listed in the next question) *

I am able to perform all of the skills

I am able to perform most of the skills

I am able to perform some of the skills

I still need to learn most of the basic skills.

Other:

Please identify the skills you have NOT mastered (yet).

One footed glides

Leg lifts

Squatting/derby position

Stepping/fast feet

Balance/hop on Toe stop

Grapevine

Sprinting/relays

Crossovers

5 minute skate

Weaving through cones

Lateral movements

Smarty pants shuffle

Transitions

Knee taps

4 point fall/turtle

Falling small

Rockstar fall

Fast Recovery

Plow stop

Sticky skate

T stop

Pivot stop

Godzilla stop (duck walk)

Are you interested in becoming a Skating Official? *

Yes

Maybe

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