Jersey Selection Form
Player Last Name
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Email *
Players Last Name *
Players First Name *
Player Division (2022 - 2023 Season) *
Last Name to Appear on Jersey *
Jersey Size *
Jersey Number Selection Instructions
Player with an even birth year MUST select an even number

Players with an odd birth year MUST select and odd jersey number

Jersey selection is based on registration being fully paid prior to jersey selection
Jersey Number Request 1st Choice *
Jersey Number Request 2nd Choice *
Jersey Number Request 3rd Choice *
A copy of your responses will be emailed to the address you provided.
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