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18+ Provincial Team Call Out
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What is your Full Name
Your answer
What is your Street Address?
Your answer
What is your E-mail?
Your answer
What is your birthdate?
MM
/
DD
/
YYYY
Are you currently playing for your Association
Yes
No
Clear selection
What Association do you belong to?
Fredericton
Dieppe
Memramcook
Shediac Cap-Pele
Kent Sud
Chaleur
Moncton
Riverview
Oromocto
Miramichi
Other
Clear selection
What preferred position do you play?
Goalie
Defence
Centre
Forward
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Is there a 2nd position you can play?
Goalie
Defence
Centre
Forward
Clear selection
Can you commit to attending Atlantics? (January 27 - 29, 2023)
Yes
No
Maybe
Clear selection
If no/maybe, please explain why?
Your answer
Can you commit to Easterns (April 20 - 23, 2023)
Yes
No
Maybe
Clear selection
If no/maybe, please explain why?
Your answer
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