16U Girls WinMan 2020 Tryout Registration
This registration form is for any athletes born September 1, 2003 to December 31, 2004 or later.
Athlete First Name *
Your answer
Athlete Last Name *
Your answer
Athlete Date of Birth *
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DD
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Athlete Email Address *
Your answer
Athlete Cel Phone # *
Your answer
Parent #1 Name (First, Last) *
Your answer
Parent #1 Cel Phone # *
Your answer
Parent #1's Home Phone # *
Your answer
Parent #1 Email Address *
Your answer
Parent #2 Name (First, Last) *
Your answer
Parent #2 Cel Phone # *
Your answer
Parent #2's Home Phone #
Your answer
Parent #2 Email Address
Your answer
Athlete Home Address (e.g 212 WinMan Avenue, Winnipeg, Manitoba, R2C 2B2) *
Your answer
Athlete's School *
Your answer
Athlete's Grade Level *
Your answer
Positions Played *
Your answer
Last Year's Club *
Your answer
Please state any Medical Conditions, Allergies, Previous Injuries *
Your answer
Please provide an emergency contact person's name and phone number (in case mother or father cannot be reached) *
Your answer
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