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The Breakaways Registration
Sign up below for our 18 and up team of Philadelphia Blind Hockey
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Name
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Email
Your answer
Phone Number
Your answer
Address
Your answer
Age
Your answer
Visual Impairment
Your answer
Equipment
The questions below pertain to equipment sizes. Each athlete will get there own equipment.
Height
Your answer
Shoe Size
Your answer
Pant Size
Your answer
Head Size
Your answer
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