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Team PEI
Canada Games 2022
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Player Name(First - Last)
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Your answer
Player Email
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
Male
Female
Other:
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Guardian Name
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Guardian Email
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Your answer
Guardian/Emergency phone number(s)
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Club registration
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Choose
Central Queens Clippers SC
Eastern Eagles SC
Eliot River Ramblers SC
Kensington & Area SC
Morell & Area SC
Stratford SC
Sherwood-Parkdale Rangers SC
Summerside United SC
Souris Lamplighters SC
North Shore Sharks SC
West Prince Storm SC
Winsloe-Charlottetown Royals FC
Not currently with a club
Preferred Position(s)
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Goalkeeper
Left Fullback
Right Fullback
Centerback
Holding Midfielder
Attacking Midfielder
Winger
Striker
Other:
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Medical Issues(allergies, injuries, etc)
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