Canadian Blind Hockey Registration Form

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Canadian Blind Hockey Registration Form

Thank you for expressing your interest in Canadian Blind Hockey.

www.canadianblindhockey.com

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Email *

Your email

Name *

Your answer

Email *

Your answer

Address *

Your answer

City *

Your answer

Phone Number *

Your answer

Age *

Your answer

Select a Language

*

English

French

Required

Reason for Joining Canadian Blind Hockey

*

Your answer

Please feel free to share more information with Canadian Blind Hockey

*

Your answer

Do you agree to have your email address added to our Canadian Blind Hockey Newsletter database?

*

Yes

No

Required

A copy of your responses will be emailed to the address you provided.

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