Team Puerto Rico Roller Derby

Team PR World Cup

If you are interested in being part of Team Puerto Rico please fill this out.

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* 1. Full legal name?

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* 2. Derby Name & Number?

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* 3. Affiliated league?

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* 4. What position do you play?

Blocker

Jammer

Both

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* 5. Were you born in Puerto Rico? Or who in your family?

I was born in Puerto Rico

My mother/father was born in Puerto Rico

My grandmother/grandfather was born in Puerto Rico

Other (please specify)

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* 6. Would you be willing to travel for tryouts?

Yes

No

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* 7. Where do you currently live?

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* 8. Email