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Portage Muskies Summer Hockey 2021
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* Indicates required question
Name
*
Your answer
Practice, Games, or Both
*
Practices and Games $410
Practices Only $150
Games Only $300
Street Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Player Cell#
*
Your answer
Player Email
*
Your answer
Player USA Hockey#
*
Your answer
Player 2021-2022 School Year
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8th Grade
9th Grade
10th Grade (yes)
11th Grade
12th Grade
Player Position
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Forward
Defense
Goalie (yes)
Team last played for
*
Your answer
Parent Name
*
Your answer
Parent email
*
Your answer
Parent Cell#
*
Your answer
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