Blades House League Interest Form (North Durham Minor Hockey)
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Blades House League Interest Form
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Blades House League Interest Form
If you are interested in playing in the Blades House League Program, please complete this form asap. We are using these numbers to determine interest before opening registration and collecting fees.
Player Information
First Name:
*
Last Name:
*
Address:
*
City:
*
Postal Code:
*
Phone Number:
*
Example: ###-###-####
Birthdate:
*
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Parent/Guardian Information
Parent/Guardian # 1 Name:
*
If Parent/Guardian # 1 Address & Home Phone # are the Same as Player, Click here, if different, please complete below:
Same Address & Home Phone
Address:
Home Phone #:
Example: ###-###-####
Cell Phone #:
Example: ###-###-####
Email:
*
Example:
[email protected]
Parent/Guardian # 2 Name:
If Parent/Guardian # 2 Address & Home Phone # are the Same as Player, Click here, if different, please complete below:
Same Address & Home Phone
Address:
Home Phone #:
Example: ###-###-####
Cell Phone #:
Example: ###-###-####
Email:
Example:
[email protected]
Are you willing to Volunteer?
Coach
Trainer
Assistant Coach
Division Convenor
Check All That Apply
Human Validation
Check The Box
*
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