SPRING CAMP REGISTRATION FORM

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First Name : Last Name :

Street Address : >

City/Town :

Province :

Postal Code (xxx-xxx) :

Phone Number (999-999-9999) :

Email address :

Date of Birth (mm-dd-yyyy) :

Height : Ft In

Weight : Lbs

Position :

Shoots (Catches for Goalies) :

Last Year's Team (City/Town) :

Level :