C REC Division Registration

C REC DIVISION REGISTRATION
[2017 FALL SEASON]

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Name *

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Last

USA Hockey Number *

Address *

Line 1

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Email *

Phone Number *

Current Group Number *

List any players that you would like us to attempt to place on your team *

Jersey Size *

1st Jersey Number Preference *

2nd Jersey Number Preference *

3rd Jersey Number Preference *

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