Connecticut Roller Derby - Battle Of The Leg Lamp

Application

This application includes information from your profile.

Derby name

Legal name

Pronouns

League affiliation

Game history URL

Insurance

WFTDA NSO certification level

WFTDA SO certification level

This application covers the entire event.

Choose the roles you're interested in filling.

NSO

Phone number where we can reach you. This will not be shared, it is for emergency situations (such as last minute unforeseen cancellations) only.

Position preferences - please select which positions you are willing and able to fulfill

Notes/Comments/Allergies/Goals/Anything else?