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CeeBees 2009-19 (U13)
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Player's First Name *
Player's Middle Name(s) *
Player's Last Name *
Player's Date of Birth *
MM
/
DD
/
YYYY
Player's Gender *
MCP # *
P.O. Box *
Town *
Postal Code *
First Emergency Name *
First Emergency Phone Number *
Second Emergency Name *
Second Emergency Phone Number *
Minor  Division *
Position *
Rep Tryouts *
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