Brantford Harlequins Rugby 2021 Registration
Registration for 2021 Spring and Summer Programming for All Ages! NO PAYMENT AT THIS TIME!
Athlete Name *
Athlete Date of Birth *
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Athlete / Contact Email Address *
Gender *
Parent Name (if under 18)
Parent Email (if under 18)
School (Public School, High School or University) *
Age Grade *
Shirt Size *
Shirt Type *
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