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South Side Training Season!!

Name:
"I'm bringing my friend to skate with me!"
Sign Me Up For:	Roller Derby Boot Camp Women's Beginner Class Referee Practice
Number:
E-Mail
Are you interested in getting ready for South Side tryouts?	No Yes
Are you at least 18 years of age?	No Yes
Occupation:
What city do you live in :
When was the last time you skated?
Will you need us to provide skates for you? This Class Is ONLY for quads. NO ROLLER BLADES.	No Yes
How did you find us?	Internet Flyer Myspace Friend Radio Newspaper Magazine TV
Would you like to be added to the Boot Camp e-mail list?