Event registration

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Details

Have A Go Day

Sunday, September 13th

The Rise, 28 Eighth Ave, Maylands WA 6051

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Are you attending this event?

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Do you need hire gear?

If needing skates what size shoe are you?

How did you hear about Have a Go Day?*

Event Waiver

By participating I acknowledge and accept that I don't have club insurance at this time and that injury is a possibility. I agree to follow directions around safety gear by WA Roller Derby members.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

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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