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Top Prospects Hockey MB 2025 - St. Mary's ($300)
March 11,12,13 - 2025 (PYRAMID Rec. Centre Arena St. Mary's) - Please complete a form for each participant. Confirmation will be emailed upon receipt of payment. E-transfer: topprospectsmb@yahoo.com

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Dave *
Current Age *
Player Birthdate *
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DD
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YYYY
Gender *
Parent(s) Name(s) *
Parent(s) Email *
Address *
City *
Postal Code *
Home Phone *
Cell Phone *
Emergency Contact Name *
Emergency Contact Phone Number *
Health Card Number (Optional)
Allergies
Position *
Level of Play *
Method of Payment *
Terms & Conditons *
RELEASE OF LIABILITY The participant and parents acknowledge and agree that  TOP PROSPECTS HOCKEY SCHOOL or any of the principals, officers, employees, agents, directors, or instructors will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly releases any and all the aforementioned parties from all claims arising from any accident, damage, injury or loss or as a consequence thereof.  The undersigned parent or guardian hereby certifies that the applicant has been recently examined by a doctor, is in good health and fully physically able to participate in all the vigorous activities of the school.  In the event of injury or illness, the hockey school has my permission to obtain medical care for which I agree to be responsible.
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