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TEAM LLRIB Youth PAGC Volleyball Championships Registration Form
Please provide all information. LLRIB Members ONLY
PAGC Championships is in PRINCE ALBERT DECEMBER 6-7, 2025
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* Indicates required question
Legal First & Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Male or Female
*
Male
Female
Which age division
*
U13 FEMALE (2012-2013)
U13 MALE (2012-2013)
U15 FEMALE (2010-2011)
U15 MALE (2010-2011)
U17 FEMALE (2008-2009)
U17 MALE (2008-2009)
LLRIB Status Number
*
Your answer
Health Card Number
*
Your answer
Home Community & Physical Address
*
Your answer
Parent/Guardian First & Last Name
*
Your answer
Contact Number
*
Your answer
Email
Your answer
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