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OJCUP 2019 - Player Medical Information
This information will be kept by each Team's Manager in case of player injuries or health issues on the field.
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* Indicates required question
Player First Name
*
Your answer
Player Last Name
*
Your answer
Gender with which you identify
*
M
F
2019 Team
*
Wicked East
Wicked West
Blaze
Scorch
Ignite
Jersey #
(if returning player)
Your answer
Player Date of Birth
*
YYYY-MMM-DD (e.g. 2001-Jan-01)
Your answer
Player OHIP Number
Your answer
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