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Rosters / Schedule
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Advising
Contact
Registration Form
Upon submission, parents of applicant agree:
ALL REGISTRATIONS ARE NON-REFUNDABLE
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Full Name
*
Birthday (MM/DD/YY)
*
City
State/Province
Zip / Postal Code
Parents Email
*
Home Phone
Full phone number with areacode
Parents Names
Current Team
Position
Coach Email
Camp Selection
08-09 Forward / Defense / Goalie
07/08 Forward / Defense / Goalie
06 Forward / Defense / Goalie
Balance $200
Method of Payment
*
Visa
Mastercard
Discover
VENMO - @RonFogarty
Credit Card Number / VENMO ID
*
Expiration Date / Date Sent
*
Security Code / Type IVY for Venmo
*
Submit