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2023 Nexus Wait List
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
USA Field Hockey Member ID #
*
Your answer
Date of Birth
*
Your answer
Email:
*
Your answer
Are you a Field Player or a Goal Keeper?
*
Field Player
Goal Keeper
Required
What region are you currently assigned to?
*
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Region 11
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