You’re Almost In — Let’s Get Your Skater Registered

Welcome to WJRD

Thanks for taking the next step to join Wilmington Junior Roller Derby!

This form collects everything we need to officially welcome your child to the team.

Please take a few minutes to fill it out completely — and don’t worry, we’ll walk you through each step after this.

What You’ll Need Before Starting

Before you begin, it helps to have the following ready:

Your contact info
Emergency contact details
Your child’s age and skate experience (if any)
Any known medical conditions or allergies
Preferred payment method
Shirt size (for team gear)

📎 You do not need to have gear yet — we’ll help you with that after registration!

Welcome to Wilmington Junior Roller Derby! We are so excited to have you!
Learn all about the league here!

New Player Registration/Onboarding Form

Todays Date *

Are you the parent/guardian authorized to fill this out? *

Yes

No

WJRD is a 501c3 Non-Profit Skater run organization, the way we operate is on monthly dues. This covers out practices space rental, insurance and game space as well out other operating expenses.

The cost breakdown is as follows:
Yearly Skater Registration $100 per child (Covers their insurance and jersey)

Monthly Dues:

1 Skater - $40/month

2 Skaters - $70/month

3 Skater -$105/month

4 Skaters- $140/month
5 Skaters- $175/month

We do offer Paid-In-Full Discounts on Session Dues

We will create and send you invoices to the billing information below.

How many skaters are you planning on enrolling? *

This the required gear:

If not thats okay! We sell mouthguards and have some pads that can be borrowed in the beginning but limited, skates can be used at the rink!

Check out the list of required equipments and gear recommendations and links with discount codes here!

Parent/Guardian Information

Full Name

Relation To the Child *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Address

Street Address *

City *

State *

Postal code *

Does the child live you you? *

Yes

No

Are you the Emergency Contact? *

Yes

Yes but want to add someone else

No, there is someone else

Who should receive the Invoices for Dues and Registration? *

Me, I'll pay them

Someone else (will enter below)

Would you be interested in volunteering with the league?

We are a volunteer-run league and can use any and all help! We need skating and non-skating officials (we will teach you everything don't worry) and it's a great way to see your kids do amazing things up close and personal! Note all WJRD volunteers must be able to pass a background check

How did you hear about us?

Emergency Contact Information

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

Emergency Contact Relation to Child *

Child Information

Are you signing up a new or returning/current WJRD skater? *

Childs Preferred First Name *

Childs Legal First Name *

Childs Legal Last Name *

child Date of Birth *

Any medical concerns or allergies? *

Do you have the required gear yet? *

Yes, I have it all!

I have skates but need gear!

No, I need it all

Scale of 1-5 how well do they know how to skate? *

Derby Name

Its okay if you dont have one yet!

Preferred skating number? *

Any combination of 4 digits, cant be currently in use on the team, we will let you know if there is a conflict!

T-Shirt Size *

This would be for the jersey ordering support

Kids email

We use this to add them to the skater slack channel so they can communicate with other skaters!

Kids Phone Number

We will use this to keep kids in the loop during travel events (Lets be honest kids have those phones glues to their hands 😂)

Billing Contact Info

Billing Contact First Name *

Billing Contact Last Name *

Billing Contact Email *

Billing Phone Number

Billing Contact Zip *

I understand that this is a Session based dues program that I am signing up for that is broken into monthly payments and agree to pay dues until alerting the team otherwise. *

I Agree

I disagree

Invoices will be sent via email or auto-draft each month unless Paid-In-Full is selected. We rely on these registration fees and monthly dues for the league insurance, practice space (which is quite expensive), and venue space.

Do you need to register any additional skaters? *

No, this is the only skater I'm registering

Yes, I have another skater to register

Lets us know if you will have more than 1 kids skating with us!

I confirm I am the parent/guardian of the skater(s) and agree to the WJRD Registration Terms. I understand that this is a session-based program with monthly dues, required gear, and no refunds. I consent to be contacted by WJRD via phone, text, or email for updates related to participation and league info.

Privacy Policy | Terms of Service

What to Expect After You Submit

Once you submit this form, here’s what will happen next:

✅ We’ll send you a welcome email

✅ You’ll receive a Slack invite and our communication checklist

✅ We’ll connect you with a coach if you have gear or schedule questions

✅ You’ll be added to the team email list and invited to our private Facebook group

✅ You’ll get a confirmation for your child’s first free practice!

Need help? Don’t hesitate to reach out:

[email protected]

3 Ways to Get Involved

🙋 Volunteer With Us

Help make practices and games happen — from track setup to scorekeeping, we need you!

💸 Sponsor the Team

Support our nonprofit league and get your name or business featured while helping kids roll strong.

🛼 Sign Up a Skater

Open to ages 7–17 — we’ll teach them everything they need to know. First practice is free!

Email