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* 1. My child and I will attend the session on:

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* 2. Please tell us your child's name.

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* 3. Please tell us the name of the team your child plays on (e.g. London Bandits HL Atom or West London MD Bantam or Junior Mustangs Minor Peewee)

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* 4. Do you have more than one child playing hockey? If Yes, please list their names and teams below (e.g. John Doe - London Junior Mustangs Midget, Sally Doe MD Bandits Novice, Sam Doe West London HL IP)

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