Call Us On: 01206 576667 Or Email: Info@DemonXtreme.com

Roller Derby / Roller Hockey Session Interest Form

Welcome to the DX  skating skills session page for beginner and intermediate Roller Derby and Roller Hockey players.

We aim to give a fun way for adults over 18 years old to give Roller Derby and Roller Hockey a go where you’re not worried about getting into a competitive team and overexerting yourself.

You will be taught by knowledgeable and fun coaches that will also include Anne and Jason who have over 30 years of coaching experience including playing, coaching the old Demon Skater Hockey Team coaching a little Roller Derby, playing and coaching Roller Hockey and running DemonXtreme itself.

Just fill in the sign-up waiver below and you’ll be added to the text list to get a space. Make sure you read all the information on the find out more page and terms and conditions to find out how it works. Absolutely no obligation and you can be removed at any time.

We are at the moment looking at venues, days and times and this will be announced at the beginning of November. We will add sessions as they fill so we can give a diverse number of sessions for every level, providing training from the complete beginner to those who are in a team and want extra practise sessions. Our aim is to provide players for teams, to grow the sport and work with existing clubs, coaches and players to improve their skill set and make teams more competitive.

Our main objective at this time is to provide Fresh Meat Training every week and get people to pass their minimums as quickly as they can with our expert coaches on hand to help.

We will also be working with Colchester Roller Hockey Club and their coaching team to provide more skating skills coaching and possibly hockey training to encourage more people to the sport and join in the fun.

This form is a basic indemnity for us to allow you to participate in our sessions and us to contact you to reserve your space, Please read below and fill out the info at the bottom carefully.

Basic Information

Surname*:

Firstname*:

Address Line 1*:

Address Line 2:

County*:

Country*:

Postcode*:

Mobile Tel*:
(Mobile Number is essential, please double check)

Email*:

Date Of Birth* (dd/mm/yyyy):

 

Medical Conditions

Please tick any/all that apply you have or have had :

 

Heart ComplaintsDiabetes (Type 1)Diabetes (Type 2)AsthmaEpilepsyMigrainesAre You breast feedingbroken bones or , muscle sprains/strainsBack or Neck problemsAllergiesPhobias

Other:

 

Skating Level

Have You Played Before?

I've Played Roller Derby BeforeI've Played Quad Hockey BeforeI've Played Inline Hockey BeforeI've Played Other Roller Sports

If yes, where have you played?

 

Skating

Beginner (Can skate confidently forwards/A little backwards)Beginner + (Confident forward/backwards/some crossovers)Intermediate (all above Plus can stop OK)Advanced (Good skater, confident all round and fast)Advanced + (Very good skater, all edges, very fast)Pro (Highest level or instructor grade)

 

Roller Derby

Beginner (played no Derby before)Beginner + (have played a little roller sport but not Derby)Beginner ++ (Have played a little derby but not passed my minimums)Intermediate (Practicing with another team for a while and almost passed my minimums)Intermediate + (Practising with another team, passed minimums but need to learn more)Advanced (Member of a team and played upto 3 bouts)Advanced + (Played for a number of years and very experienced with bouts)Pro (play derby to a high level)

 

Quad Hockey

Beginner (played little or no quad hockey before)Beginner + (Played some quad hockey up to 6 months or over 10 years ago)Intermediate (regular rec quad hockey, has done over a year )Advanced (League level, plays regularly or used to)Advanced + (Played for a number of years and very experienced)Pro (Played Quad Hockey to a high level.)

 

Inline Hockey

Beginner (played little or no hockey before)Beginner + (Played some hockey up to 6 months or over 10 years ago)Intermediate (regular rec hockey, has done over a year )Advanced (League level, plays regularly or used to)Advanced + (Played for a number of years and very experienced)Pro (Played Inline Hockey to a high level.)

 

Equipment Hire

I have my own skatesI have my own padsI will need to hire skatesI will need to hire pads

 

If you need equiment please provide your height and weight so we can provide the correct size:

 

Height (feet/inches):

Weight (kg):

Mouth guard or jock/pelvic protection not provided due to health reasons, but must be worn at all times.

 

I am looking to buy kit very soonPlease visit demonxtreme.com to buy kit now or chat with us online

 

Sessions You're Interested In:

Learn to skateFresh Meat Roller Derby ( beginner level)Fresh Meat Roller Derby (intermediate level)Fresh Meat Roller Derby (advanced Level)Quad Hockey (beginner skating skills)Quad Hockey (Intermediate/advanced skating skills)Inline Hockey (beginner skating skills)Inline Hockey (Intermediate/advanced skating skills)

 

Your Local Team

 

What Teams do you play for

 

I Agree to the Terms, conditions and cancellation rules, I am the person named in this form and consent to being contacted regarding this event or for things that the organisers feel relevant to me. I can request to be removed from the text invite list at any time by text after I have received the confirmation text that I have been added to the invite list.