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Camp of Excellence 2019 Registration Form
Please fill out the form to register an athlete for the 2019 Camp of Excellence
For questions please contact Christina -
christina@nsshf.com
or (902) 404-3343
August 23-25 2019
Canada Games Centre
$225/athlete
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* Indicates required question
Email
*
Your email
Athlete First Name
*
Your answer
Athlete Last Name
*
Your answer
Gender
*
Female
Male
Prefer not to say
Grade Entering September 2019
*
7
8
9
10
Last team played for and division
*
Your answer
Shirt Size
Youth M
Youth L
Youth XL
S
M
L
XL
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Athlete Phone Number (if applicable)
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Relationship to athlete
*
Your answer
Health Card Number
*
Your answer
Payment Options
*
E-Transfer -
Bruce@nsshf.com
Cheque - Nova Scotia Sport Hall of Fame
Credit - please call (902) 404-3343 to complete payment
Other:
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