Membership Form

Shirts will be purchase from the East End Skating Center

JR. WHEELS TRY OUT SHIRT

WHITE TEE (ON LINE CREW)

($10)SML

($11)XL

($12)XXL

SORRY CASH ONLY!!!

* THIS WHITE TEE SHIRT MUST

BE PURCHASE PRIOR TO TRY OUT

(6 WKS TRY OUT TIME)

* THIS IS A FRONT & BACK VIEW OF

RWOM WHITE TEE (ONLY 1 SHIRT VIEW)

JRS. ROLLING WHEELS OF MEMPHIS

ORANGE MEMBERSHIP SHIRTS

$13 EACH (SML)

$14 (XL)

$15 (XXL)

*THIS IS A FRONT & BACK VIEW

OF RWOM MEMBERSHIP SHIRT

(ONLY 1 SHIRT VIEWED)

SORRY CASH ONLY !!!!

* THIS SHIRT IS NOT PURCHASED

UNTIL JR. HAS SUCCESSFULLY

COMPLETED THE 6 WKS TRAINING

THIS SHIRT WILL BE WORN ALONG

WITH BLACK PANT (MUST PURCHASE)

DURING SPECIAL PERFORMING EVENTS

*WE DON'T SELL BLACK PANT **

JUNIORS NEED THEIR OWN SKATES

TO BECOME A MEMBER!!!

*RENTED SKATES CAN BE USE

DOING TRYOUT.

Membership Form

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Rolling Wheels of Memphis Club & Jammer Membership Form

Today Date
First name:
Last name:
Male or Female
Date of birth (ex. month,day,year -02/22/2000)
Age
Home address
City:
State:
Zip code:
Home Phone:
Cell phone
School / College
Email address:
RWOM JAMMER TRY OUT SHIRT
Check box to join Rolling Wheels of Memphis Club only!
Check box to join both Rolling Wheels of Memphis Club & try out for Jammers
I understand by signing this form I agree to paid a yearly dues for membership & purchase a yearly required uniform ( Parent or Guardian must sign here and sign child name below for any child under 18 yrs. old)
Child name
May we contact you on Facebook & by cell texting ? (if so please list facebook name and cell text number in box
Emergency contact (Name, Contact Numbers & Text)

For questions concerning membership please contact Rick Smith (Founder / Coordinator) (901)550-8181 cell or Chess Burnett (Assist Coordinator (901)486-7417 cell