CENTRAL OUTLAWS APPLICATION
Thank you for your application submission. Approval for new skaters will be given/sent once payment has been received. For multiple family members you will need to fill out a application for each.
Email address *
SKATER NAME (FIRST/LAST) *
BIRTH YEAR *
2019-2020 ASSOCIATION & LEVEL PLAYED (house/tb travel/independent travel) *
MAIN POSITION PLAYED *
PARENTS NAME *
PHONE NUMBER *
PARENT/GUARDIAN ADDRESS *
EMERGENCY CONTACT (NAME, PHONE NUMBER & ADDRESS) *
I CERTIFY I HAVE/WILL SEND APPLICATION FEE *
OTHER
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