2023 Canadian Mixed Open - Ball Retriever Registration
This form is intended for anyone participating as a ball retriever that has not registered for the event as a player or coach. In order to access the tournament area all participants must complete a waiver.




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Email *
Dodgeball Canada Membership Number: *
This can be found on your PlayerWeb account profile.
First Name *
Last Name *
Date of birth *
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DD
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YYYY
Emergency Contact: *
Provide the full name and phone number for your emergency contact.
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