Gold Medal Major Midget (U16) Boys 2021-22
registration info
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Email *
Players First Name *
Player Last Name *
Birthdate (D/M/Y) *
Parent/Guardian 1 Name (First Last) *
Parent/Guardian 1 Cell # (xxx-xxx-xxxx) *
Parent/Guardian 2 Name
Parent/Guardian 2 Cell # (xxx-xxx-xxxx)
Parent/Guardian alternate email
Address *
Postal Code *
Home phone
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