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2022 Brantford 99ers Jr A Prospect Camp Registration Form
January 26, 2022 @ 8:00 am - 5:00 pm
2022 Brantford 99ers Jr. A Prospect Camp
2022 Brantford 99ers Jr. A Hockey Club Main Camp Player Registration Form
Players will be notified on game schedule. PLEASE DO NOT SEND FEES AT THIS TIME
Please fill out the required player information form in its entirety. PRINT CLEARLY
| Last Name
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| First Name
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| Address:
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| City:
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| Postal Code:
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| Phone:
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| Email:
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| Position:
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| Date of Birth:
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| Height:
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| Weight:
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| Shot:
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| Previous Team & League:
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WAIVER – The undersigned player, parent/guardian releases the Brantford 99ers Hockey Club, its officers, directors, and employees from any claims for injury and/or damages that may arise from participation in this team hockey program.
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Player Signature Date
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Parent/Guardian Signature (if under 18) Date
