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Spring ID Camp 2021 Defenceman
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* Indicates required question
Last Name
Your answer
First Name
*
Your answer
Hometown
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Height
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Choose
5'7
5'8
5'9
5'10
5'11
6'0
6'1
6'2
6'3
6'4
6'5
6'6
6'7
Weight
*
Your answer
Shoot
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Choose
Left
Right
20-21 Team/League
*
Your answer
20-21 Stats GP-G-A-PTS-PIM
*
Your answer
Player Cell Phone Number (xxx)xxx-xxxx
*
Your answer
Player E-mail
*
Your answer
Payment Method $249
Visa
Mastercard
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Credit Card Number--Expiry--CRV Code
*
Your answer
Is your medical form filled out?
*
Form MUST be filled out to be eligible for camp(Separate Link)
Yes
No
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