Gold Medal Bantam Boys 2018-19
registration info
Email address *
Player last name *
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Player first name *
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Birthdate (D/M/Y) *
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Parent/Guardian 1 Name *
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Parent/Guardian 1 Cell # *
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Parent/Guardian 2 Name *
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Parent/Guardian 2 Cell # *
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Parent/Guardian alternate email *
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Address
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Home phone
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