Details

BorderClash Junior Roller Derby Tournament 2026 - Skater Registration

Sat 10 Oct 2026 7:00AM - Sun 11 Oct 2026 6:00PM
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Bendigo Show Grounds - Regional Events Complex, 42–72 Holmes Road, North Bendigo, VIC 3550

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Skater Legal Name*

Skater Derby Name*

Derby Number*

DOB*

Age (Age By Tournament)*

Pronouns*

She/Her

He/Him

They/Them

Shey/They

He/They

Other

N/A

Parent/Guardian - Full Name*

Roller Derby League Affiliation (FULL League Name. No Acronyms)*

Skater Level*

Level 1

Level 2

Level 3

League Contact - Full Name*

League Contact - Email*

Insurer*

Skate Australia

Skate SA

Skate WA

Skate QLD

Skate NSW

Skate Victoria

Other

Insurance Level*

Competitive

Development

Participation

EOI I Would Like To Participate In A Pot Luck Team (If Part Of A Home Team Please Select No)*

Level 1

Level 2

Level 3

No Thank You

Please Let Us Know If You Require Any Support Or Have Any Medical Conditions That We Need To Know About. Max 255 characters

Would Your Junior Skater Like To Officiate? (Parent/Guardian Officials Please Head To The Officials EOI)*

Referee

NSO

Both

No Thank You

Inside Pack Referee*

No Thank You

Newbie

Confident

Expert Level

Jammer Referee*

No Thank You

Newbie

Confident

Expert Level

Outside Pack Referee*

No Thank You

Newbie

Confident

Expert Level

Jam Timer*

No Thank You

Newbie

Confident

Expert Level

Penalty/Line Up Tracker*

No Thank You

Newbie

Confident

Expert Level

Scoreboard Operator*

No Thank You

Newbie

Confident

Expert Level

Scorekeeper*

No Thank You

Newbie

Confident

Expert Level

Penalty Box Manager*

No Thank You

Newbie

Confident

Expert Level

Penalty Box Timer*

No Thank You

Newbie

Confident

Expert Level

Commentator*

No Thank You

Newbie

Confident

Expert Level

Please Let Us Know If You Have Anything Else To Add! Max 255 characters

By Registering, Do You Confirm That You Have Read & Agree To Abide By Our Junior Policy? Read The Policy Here (You May Need To Copy/Paste Into Your Browser) https://drive.google.com/file/d/1dDHuEoxyrQaCFAILMszB38V74_w3Ukr8/view?usp=sharing| Thank You.**

Yes

Please note

A BorderClash Skater Registration of $90.00 applies for this event.

Terms Of Registration

By registering my child for this tournament, I give consent for their image and likeness to be photographed and/or recorded by official event media. I understand that these images and videos may be used in livestreams, replays, promotional materials, social media, and on the tournament’s official website or affiliated platforms.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

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

Event registration

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Basic details

Additional information

Terms Of Registration

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Event registration

Already a member?

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Basic details

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Terms Of Registration

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