Dirty Jersey Sept Double Header

Host: Dirty Jersey Roller Derby
Date: Sept. 26, 2026
Location: All Season Sports Academy 2700 Hamilton Blvd, South Plainfield, NJ 07080

Hi Friends!

Thank you so much for signing up to officiate our doubleheader. We literally can't do this without you. Please fill out the form below. Sign up for the roles you are comfortable being placed in.

Officials call time is 4pm

More details will be shared once responses are reviewed, so keep an eye on your inbox. We really appreciate your time and help!

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 multiple games.

Games

Game 1 (5 p.m.–6:15 p.m.)

Game 2 (7 p.m.–8:30 p.m.)

Choose the roles you're interested in filling.

NSO

Emergency Contact Name & Phone Number

Allergies?

Staffing permitting, would you like to shadow a role? If so, what position(s).

Any other information you want us to know?