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Border Clash Junior Roller Derby Tournament 2024 - Skater Registration
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Details
Mon 01 Jul 2024 00:00 — Sat 31 Aug 2024 23:59
Gawler Sports & Community Centre, Nixon Terrace, Gawler, South Australia
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Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Skaters Legal Name*
Skaters Derby Name*
Derby Number*
Age*
Pronouns*
She/Her
He/Him
They/Them
She/They
He/They
Other
N/A
Skater Level*
Level 1
Level 2
Level 3
Roller Derby League Affiliation*
Insurer*
Skate Australia
Skate Victoria
Skate SA
Other
Insurance Level*
Competitive
Development
Participation
Would You Like To Officiate?*
Referee
NSO
Both
No Thank You
If Yes, Which Officiating Role/Roles? What Is Your Experience Level? 'Beginner', 'Intermediate' or 'Experienced' & How Many Bouts/Scrims Have You Officiated In?
Max. 255 characters
League Contact - Name*
League Contact - Email*
Parent/Guardian Name*
Emergency Contact Number*
Please note
A
Border Clash Early Bird Tournament Fee
of
$70.00
applies for this event.
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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