top of page
Log In
Home
Join
Join Us
Parent Page
Tuition Scholarships
About
About
Meet the Teams
News
Roller Derby
What are the Rules?
Benefits
Penalties
Gear
Wash Your Gear
Contact
Schedule
Calendar
Game Schedule
Fundraising
Get Involved
Get Involved
Donate
Officials Corner
Sponsors
Become a Sponsor
NCJD Boosters
Shop
Preorder
NCRD
Skate School Registration
First name
Last name
Derby Name
Derby #
Birthdate
Skater Pronouns
Preferred Pronouns
Shirt Size
School Name
Grade
Email
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Parent\Guardian Name
Phone
Email
Parent\Guardian Name
Phone Number
Email
Necessary Medical Information
Medical Insurance Information
Do you need to borrow gear?
None
Skates
Helmet
Knee Pads
Elbow Pads
Wristguards
Skate size?
Preferred Physician or Clinic
Former League Affiliation
How did you hear about us?
Upload a photo for skater's id
Upload File
Upload supported file (Max 15MB)
What do you love about roller derby?
Next
Why do NCJD skaters love derby?
NCJD is my second family!
Speedy Morales 8
Furies
bottom of page