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Selkirk Steelers
*REGISTRATION FORM - August Fall CAMP 2008*
NAME:
DATE OF BIRTH:
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ADDRESS City/town and Postal Code:
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PHONE NUMBER:
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Clearing House #:
SAT SCORE:
PARENT/GUARDIAN Mother and Father:
E-MAIL:
2007/08 team:
POSITION:
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HEIGHT:
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9 DIGIT MEDICAL NUMBER:
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© 2006 Selkirk Steelers - All Rights Reserved
1011 Manitoba Avenue, Selkirk, MB, R1A 3T7   *   Tel: (204) 482-7020   *    Fax: (204) 482-7106