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

New Skater (Never Played Derby)

New Skater (Played Derby before)

Returning WJRD Skater

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

Yes

No

Your First and Last Name *

How did you hear about us?

Child Information

Childs Date of birth *

They must be at least 7 years of age at the time of starting

Childs Preferred First Name *

Childs First Name (Legal) *

Childs Last Name *

Any medical concerns or allergies *

Address

Childs Street Address *

City *

State *

Postal code *

T-Shirt Size *

This would be for the jersey ordering support

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!

Childs email

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

Childs 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 😂)

Do you need to register any additional skaters? *

No, this is the only skater I'm registering

Yes, I have 1 more Skater

Yes, I have 2 more skaters to register

Yes, I have 3 more skaters to register

Yes, I have 4 more skaters to register

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

2nd Child First Name *

3rd Child First Name *

4th Child First Name *

5th Child First Name *

Parent/Guardian Contact Information

Relation To the Child *

Parent First Name *

Parent Last Name *

Parent Phone Number *

Parent Email *

Does the child live you you? *

Yes

No

Parent Street Address *

Parent City *

Parent State *

Parent Zip *

Emergency Contact Information

Are you the Emergency Contact? *

Yes

Yes but want to add someone else

No, there is someone else

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

Emergency Contact Relation to Child *

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!

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? *

Bambi on IceBorn on wheels!

Cost and Billing Information

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:
Skater Registration $50 per child per session (Spring due by 2/1 and Fall due by 9/1)

Monthly Dues:

1 Skater - $40/month

2 Skaters - $70/month

3 Skater -$105/month

4 Skaters- $140/month

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

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

Who should we send the invoice to? *

Me, I'll pay them

Someone else (will enter below)

Billing Contact First Name *

Billing Contact Last Name *

Billing Contact Email *

Billing Phone Number *

Billing Contact Street Address *

Billing Contact City *

Billing Contact State *

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.

I understand that this is a Session based program with $50 Registration Fees per child per session in addition to monthly dues. *

I agree

I disgree

We rely on these registration fees and monthly dues for the league insurance, practice space (which is quite expensive), and venue space. We hope to see you at a future game or practice!

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