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Gold Medal Bantam Boys 2018-19
registration info
Email address *
Players First Name *
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Player Last Name *
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Birthdate (D/M/Y) *
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Parent/Guardian 1 Name *
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Parent/Guardian 1 Cell # *
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Parent/Guardian 2 Name
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Parent/Guardian 2 Cell #
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Parent/Guardian alternate email
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Address *
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Postal Code *
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Home phone
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