Dynamite Basketball Winter 2024                Adult Drop-In Basketball                          Registration Form
Winter 2024
Adult Drop-in Basketball

Wednesdays
January 10, 2024-March 6, 2024
7:00pm-9:00pm

Lord Dorchester Secondary School Gym

No cost

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Email *
Registrant's First Name *
Registrant's Last Name *
Gender *
Home Address (street number and name) *
City *
Postal Code *
Home Phone Number *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
Medical/Health Concerns *
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