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2021-2022 BEDFORD BARONS U15 MAJOR TRAINING CAMP REGISTRATION
2021-2022 Tryouts
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Player First Name
*
Your answer
Player Last Name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Player Height
*
Format: Feet & Inches ie. 5' 5"
Your answer
Player Weight
*
Format: lbs ie.140 lbs
Your answer
Shoots
*
Left
Right
Player Health Card #
Your answer
Any Medical Conditions to be aware of?
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2020-2021 Team
*
Type your association and level (i.e. Bedford Barons, BDHMA PW AAA, etc)
Your answer
Completed HNS Approved Checking Certification?
*
Yes
No
Position Preferred
*
Forward
Defense
Goaltender
Required
Player Primary Address
*
Format Type: # Street Name, Town, Prov, Postal Code
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Parent 1 Contact Name
*
Your answer
Parent 1 Contact eMail
*
Your answer
Parent 1 Contact Cell Phone
*
(902) xxx-xxxx
Your answer
Parent 2 Contact Name
Your answer
Parent 2 Contact eMail
Your answer
Parent 2 Contact Cell Phone
(902) xxx-xxxx
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