VANCOUVER RAVENS FALL REGISTRATION
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Email *
Today's Date *
MM
/
DD
/
YYYY
Player's Division *
Primary Contact's First and Last Name *
Primary Contact's Email *
Primary Contact's Phone Number *
Player's First and Last Name: *
Player's Birthdate *
MM
/
DD
/
YYYY
Player's Contact Number
Player's Email
Player's Home Address *
(Street, City, State, Zip)
Player's Gender *
Does player have any allergies we should be aware of?
Does player take any medication we should be aware of?
(i.e. ADHD)
Player's Current Grade Level
Where does player attend school?
Graduation Year? *
Returning Player *
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