Event registration

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Details

Home Scrim

Sat 19 Sep 2026 12:00 - 14:00
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Epic Skate Rink, 20/23 Enterprise Avenue, Tweed Heads, NSW 2487

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First name*

Last name*

Phone number*

Email address*

Address*

My Derby name is

My Derby # is

My club is*

I'm insured with*

I would like to*

Bench Crew

NSO

Ref

Play

My preferred position/s are* Max 255 characters

Describe your level of experience/skill* Max 255 characters

I understand that I must also complete the SkateNSW online attendance register to be involved in this scrim and will do so once a link is provided.*

Yes

Add anything else you'd like us to know here Max 255 characters

Player Game Fee

$15.00 ea

Ref/NSO (Thank you for your time)

FREE

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*