Player Name:

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* 1. Player Name:

Player DOB: Year only

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* 2. Player DOB: Year only

Player Number:

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* 3. Player Number:

Do you plan on playing hockey the 2018 - 2019 season?

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* 4. Do you plan on playing hockey the 2018 - 2019 season?

If you are undecided, why?

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* 5. If you are undecided, why?

Parent Name and Number

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* 6. Parent Name and Number

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