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Application Form
Filling in this form will save you a place on our next beginner's course - please check your emails in a few days, we will reply to you with details of the next course!
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Email
*
Your email
Full Name
*
Your answer
Date of Birth
*
MM
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DD
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YYYY
Mobile number
*
Your answer
UK Shoe Size (if you have your own skates, please type "Own kit"
*
Your answer
Town/City
*
Your answer
Previous skating experience?
*
I have played Roller Derby before
I can skate well on quad skates/blades
I have some skating experience
I skated when I was younger
None
Why do you want to join BCRD?
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Your answer
Tell us about yourself. What are your interests?
*
Your answer
How did you hear about us?
*
Poster/Flyer
Word of Mouth
Cumbria Pride
Web search
Facebook advert
Business card
Megacon
UNITY Festival
Other:
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