Derby Owned
Your directory of roller derby player owned businesses
Derby Owned Application Form
Eligibility
In order to be considered “Derby Owned” for the purposes of this website, you need to meet all of the following criteria:
1 - You must be an active PLAYER in a roller derby league.
2 - You must have been a PLAYER in a roller derby league for at least 6 months
3 - AT LEAST 51% of the company's shares must be owned by roller derby PLAYERS (if more than 2 derby owners please add the additional owner info to the comments field at the bottom of the form)
Exclusions
- No Franchises
- No Contract Labour Employees
- No Sales Associates
- No Businesses that promote discrimination or hate
- No Pornography
* denotes mandatory fields
General Information
How did you hear about Derby Owned *
Business Information
Answer the following questions carefully, the text you provide will be used for your listing.
Business Name *
Description of your Business *
Website
Phone *
Email *
FAX
Street Address *
DO NOT Include Street Address In Listing
Business Type (Cooperative, Non-Profit, Sole Proprietor, Partnership) *
Owner Information
Derby Owner #1
Percentage of Ownership *
Real Name *
Derby Name *
League Name *
League Location *
Role within League *
Time with League *
Previous League Name
Previous League Location
Role within Previous League
Time with Previous League
Derby Owner #1 League Reference
Name *
Phone *
Email *
Derby Owner #2
Percentage of Ownership
Real Name
Derby Name
League Name
League Location
Role within League
Time with League
Previous League Name
Previous League Location
Role within Previous League
Time with Previous League
Derby owner #2 League Reference
Name
Phone
Email
Logos and Additional Images
Company Logo (will be used for your listing) *
We invite you to add up to 3 additional images. Those can be product pictures, pictures of your store, of you skating, of you playing derby, etc. We may or may not use these on your listing.
Additional Image
Additional Image
Additional Image
Comments and Additional Information
Type in the CAPTCHA
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