Sanctioning Request Form | Known Matchups | Mens Roller Derby Association

Does your event have unknown matchups (example: tournament style?). Click here for the unknown matchup sanctioning form.

Single Game With Known Matchup
By submitting the information below, I, as an, authorized representative of the host league, am requesting the MRDA Games Committee to review the information provided and confirm this game for MRDA sanctioning. Please note: you will need to submit this form for each sanctioned game.
Tournament Name (if applicable)
Representative Name*
Representative Email*
Event Date*
MM slash DD slash YYYY
Late Sanctioning Fee
Price:
Sanctioning requests are due via the online form above, thirty (30) days before the event If the sanctioning request is made less than 30 days before the event a fee of $50.00 USD per game will be required in order to sanction the event. You will be directed to paypal after submitting this form if a fee is required. The information submitted will not be processed until payment is received.
Home Team Name*
Home Team Representative Name*
Home Team Representative's Email*
Away Team Name*
Away Team Representative Name*
Away Teams Representative's Email*
Venue Name*
Street Address*
Street Address 2
City*
Country
State*
Canadian Province*
Zip Code
Other Venue Information
Further Info
At the completion of the game, the following steps must be taken for this game to count towards rankings:
IGRF form
The signed IGRF form can be uploaded on the score submission form, or be emailed to [email protected] within 2 weeks of the game date.
Completed Stats Book
The completed stats book can be submitted on the score submission form, or be emailed to [email protected] within 2 weeks of the game date and within 4 weeks of a multi-game event.
Billing Information
Billing Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Email*
Billing Phone*
Today's Fees Total
$0.00
Verification
By submitting the enclosed information I am verifying that I have read and understand the steps needed for sanctioning. I also verify that the above games will be played by the most recent MRDA rule-set and the most recent Safety Protocols will be followed.

Single Game With Known Matchup

Further Info

IGRF form

Completed Stats Book

Billing Information

Verification