Registration: Facing Off Against Men's Cancers

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Please fill out the entire document!

Your team will be given a celebrity player on the Friday night of the weekend. Please register your team of 6 which includes a goalie and a team captain. Your team captain will be the contact person for your team.

Teams can be registered as a single entity or as a sponsored team.

If you have any questions, please call/text Dawson Barteaux at (204) 847-5048 or Jacki at (204) 847-0030

Captain's Name *

Captain's Phone Number + Email *

Please select the division you would like to play in (refer to website for more information on these options) *

Junior Division (14 & under) $200 (assigned a sponsor by us)

Sponsored Junior Team $550 (find your own sponsor)

Elite Division (15 & up) $400 (assigned a sponsor by us)

Sponsored Elite Team - $750 (find your own sponsor)

Name of Sponsor (if applicable)

Name of Your Team *

Player #1 *

Player #2 *

Player #3 *

Player #4 *

Goalie *

Please select your payment option. Teams will not be considered registered until the full team payment is received. *

As soon as I am done this registration I will etransfer my Team Fee to FOAMC19@gmail.com

I will be mailing a cheque to Dawson Barteaux (Box 15, Foxwarren, MB, R0J 0R0) prior to July 1

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