PREMIER WINTER YOUTH FUTSAL LEAGUE U-15 GIRLS
LAST NAME *
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FIRST NAME *
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BIRTHDATE *
MM
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DD
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YYYY
ADDRESS *
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CITY *
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POSTAL CODE *
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PROVINCE *
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CELL PHONE / HOME PHONE *
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EMAIL PARENTS *
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PARENTS FIRST NAME *
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PARENTS LAST NAME *
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TEAM *
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COACH *
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