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U17 Rising Stars Box Tournament
Please complete the Tournament Application form below. Your spot will be confirmed once payment is received. If you have any questions please contact
lindsayleblanc@mimicolacrosse.com
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Team
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Contact Information
Managers Name
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Managers Email
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Managers Phone
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Head Coach Name
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Head Coach Email
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Head Coach Phone
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Team Information
Do you have Home and Away uniforms?
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What colour are your uniforms?
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Payment
Cheques must be couriered by Wednesday August 4, 2021 to confirm your spot.
If paying by EMT, payment is due no later than Thursday August 5, 2021.
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EMT to
treasurer@mimicolacrosse.com
(preferred)
Cheque couriered to 1432 Alexandra Avenue Mississauga, Ontario L5E 2B1
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