2018 WWFHC registration form
2018 Waterloo Women's Field Hockey Club Registration Details.
Email address *
Last Name *
Your answer
First Name *
Your answer
Address *
Street # and Street Address, Apartment number (if applicable)
Your answer
City *
Your answer
Postal Code *
Your answer
Home phone number *
(xxx) - xxx - xxxx. If your cell number is your primary contact, please enter '0' into this line.
Your answer
Cell phone number *
(xxx) - xxx - xxxx. (no cell number, enter '0'.)
Your answer
Work phone number
(xxx) - xxx - xxxx extension xxx. (This is optional if you have a cell number.)
Your answer
Email address *
Your answer
Birth Date *
Month / date / year (example December 15, 2012)
MM
/
DD
/
YYYY
I would like to play *
If I play RECREATIONAL, please order me the following t-shirt size *
My Field Hockey Ontario (FHO) membership number is
Your answer
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