This form MUST be completed by a player's parent or legal guardian.

To complete the form, both the player and parent or legal guardian information must be provided. 

Both the player and parent or legal guardian will confirm that they have read and will accept:

• The JRDA Parent and Skater Code of Conduct
• The Player Requirements section of the Membership Policy
• The Charter Roster Requirements and the Uniform Requirements sections of the Sanctioning Policy

Once a player registration is on file, you will use the Player Name / Number Change Request Form below to edit information.

If you need to change league affiliation please email hr@juniorrollerderby.org

All skaters under the age of 14 as of September 1, 2024 (date of birth after 9/1/2010) must have a signed Age & Contact Waiver on file in order to be active on a charter roster for this season.
 
ONE submission per player is required; do NOT submit multiple waivers for multiple players as one submission. 
 
If a skater is on 2 different charters for 2 different leagues, they will need a waiver submitted for each team, as both of their coaches will need to sign the waiver.

This form is used to request amendments to previously submitted player registrations.

You may use the form to request changes of the following:

• Derby Name
• Jersey Number
• Legal Name