16U Boys WinMan Tryout Registration 2022
This registration form is for any athletes born Sept 1, 2005- Dec 31, 2006 or later.
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Email *
Athlete First Name *
Athlete Last Name *
Athlete Date of Birth *
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Athlete Email Address *
Athlete Cel Phone # *
Parent #1 Name (First, Last) *
Parent #1 Cel Phone # *
Parent #1's Home Phone # *
Parent #1 Email Address *
Parent #2 Name (First, Last)
Parent #2 Cel Phone #
Parent #2's Home Phone #
Parent #2 Email Address
Athlete Home Address (e.g 212 WinMan Avenue, Winnipeg, Manitoba, R2C 2B2) *
Athlete's School *
Athlete's Grade Level *
Positions Played *
Last Year's Club or Previous Team (If Any) *
Please state any Medical Conditions, Allergies, Previous Injuries *
Please provide an emergency contact person's name and phone number (in case mother or father cannot be reached) *
A copy of your responses will be emailed to the address you provided.
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