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Dynamite Basketball Spring 2023 Grade 4, 5, 6 (Coed) Basketball Registration Form
Spring 2023 PROGRAM
Grade 4, 5, 6 (Coed) Basketball
Tuesday, March 21, 2023 to Tuesday, May 9, 2023
6:30pm-7:20pm
$100
Questions? Please email Dorchester Dynamite Basketball at
dorchesterbasketball@hotmail.com
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Email
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Your email
Registrant's First Name
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Your answer
Registrant's Last Name
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Your answer
Grade
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Grade 4
Grade 5
Grade 6
Gender
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Male
Female
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T-Shirt Size
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Youth Small
Youth Medium
Youth Large
Youth XLarge
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Other:
Home Address (street number and name)
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Your answer
City
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Your answer
Postal Code
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Your answer
Home Phone Number
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Your answer
Emergency Contact First Name
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Your answer
Emergency Contact Last Name
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Your answer
Emergency Contact Phone Number
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Your answer
Medical/Health Concerns
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Your answer
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