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Age
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Last
Address:
City, Province/State, Postal/Zip
Email
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Email
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Association or Team you currently play for:
Phone Number
Which program are you registering for?
Height / Weight
First
Last
Age
*
Position
Defence
Left Handed
Forward
Right Handed
Goalie
How often do you train per week?
1-2 times
3-4 times
5-7 times
What are your goals as a player?
What other sports do you currently play?
Additional Information:
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Home
About PHD
Registration
Male Registration
Female Registration
Contact