Bakersfield Camp Registration Form

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Bakersfield Camp Registration Form

Please fill out this player registration form. To pay you can click HERE or go to Bakersfield Camp Payment at the bottom of the Purchase Tickets Online section of our website.

We will send you a confirmation email once confirmation of registration and payment has been accepted.

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* Indicates required question

Player Name *

Your answer

Date Of Birth *

MM

/

DD

/

YYYY

Current Team (Winter Season) *

Your answer

Postion (Check all that apply) *

Goalie

Defense

LW

RW

C

Required

Parent Name *

Your answer

Parent email *

Your answer

Parent Phone Number *

Your answer

Coach Reference : Email or Phone # (optional)

Your answer

How did you hear about this Camp?

Your answer

Submit

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