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Team Captain / Single Player
First Name
Last Name
Address
Street #
City
Province
Postal Code
Evening Phone
Day Phone
Email Address
Gender
Male
Female
Additional Players
First Name
Last Name
Gender
Phone
Email Address
1
M
F
2
M
F
3
M
F
4
M
F
5
M
F
6
M
F
7
M
F
8
M
F
9
M
F
10
M
F
Team Name:
Season:
Spring
Summer
Fall
Winter
Sport:
Floor Hockey
Indoor Soccer
Indoor Volleyball
Dodgeball
Outdoor Soccer
Curling
Flag Football
Ultimate Frisbee
Slo-Pitch
Beach Volleyball
Level of Play:
Rookie
Rec
Intermediate
Advanced
Event / Tournament:
Registration Type:
Individual Player $70.00
Team 6+ $420
Are all players Canadian residents?:
Yes
No
Method of Payment:
Cheque
Credit Card
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