Name
Address
City
State
Zip
Email
Phone Number
May we text you?
No
Yes
Are you new to the Arizona Rollegirls?
Choose one
Yes, I want to join.
No, I'm just here to pay my dues.
No, I'm here to pay a custom amount.
Enter custom amount
How did you hear about the Arizona Rollergirls
Have you ever played roller derby before?
No
Yes
Which League did you skate in?
When did you skate with them?
Can you commit to making practice twice a week while in the New Blood training program?
No
Yes
Can you commit to paying monthly dues?
No
Yes
Tell us about yourself and why you’re interested in joining us.
The amount to pay your existing member dues is $35
The amount to sign up as a new rollergirl is $40