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CeeBees Female
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* Indicates required question
Email
*
Your email
Untitled Title
Player's First Name
*
Your answer
Player's Middle Name(s)
*
Your answer
Player's Last Name
*
Your answer
Player's Date of Birth
*
MM
/
DD
/
YYYY
Player's Gender
*
Female
Male
MCP #
*
Your answer
P.O. Box
*
Your answer
Town
*
Your answer
Postal Code
*
Your answer
First Emergency Name
*
Your answer
First Emergency Phone Number
*
Your answer
Second Emergency Name
*
Your answer
Second Emergency Phone Number
*
Your answer
Minor Division
*
Your answer
Position
*
Player
Goalie
Rep Tryouts
*
Yes
No
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