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2010 INFORMATION COMING SOON

2010 Summer Camp info and sign up begins on February 28, 2010

Summer Camp Application

First Name:

*

Last Name:

*

Date of Birth:

*

Gender:

*

Address 1:

*

Address 2:

City:

*

State:

*

Zip:

*

Country:

*

Telephone:

*

Cellular Phone:

Player Email:

Desired Session:

Position:

*

Height:

*

Weight:

*

Jersey:

Jersey #:

Shoot:

Last Year's Statistics:

Games

Goals

Assists

Winter Coach Name:

Winter Coach Phone:

Winter Coach Email:

Winter Team Name:

Winter Team Level:

*

Father's Name:

*

Mother's Name:

*

Parent Email:

Parent Phone:

*

Hockey Reference Name:

*

Reference Phone:

*

Reference Email:

Reference Relation:

*

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