*National Museum of Roller Skating / RINK HOCKEY INCLUDES / STATE CLUB / National Museum of Roller Skating / USARS National Headquarters / USARS Headquarters / Fitness Skating *National Museum of Roller Skating / /
*World Team Endowment / CLUB/LEAGUE NAME FACILITY NAME CITY SIGNATURE OF CLUB / /
Person
DERBY INCLUDES / / /
Position
ATTORNEY / meet director / coach / Official / official USA Roller Sports coach / representative / initiating the individual / club officer / leader / director of this condition / president / billing clerk / OFFICER / skater / athlete / /
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