2019 Vernon Vipers Prospect Camp (Forwards)
May 10th-12th @Kal Tire Place North
Name *
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DOB mm/dd/yy *
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Position *
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Best Email To Be Reached At *
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Phone Number *
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Current Team/League *
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Medical Card Number *
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Please submit payment of $250 via Interac E-Transfer (todd@vernonvipers.com) or by cheque to 3445 43rd Ave, Vernon BC, V1T 8P5 (Please make answer Vipers) *
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