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Manitoba Lightning - Single Player Registration

$225 per player this includes Jersey / socks/ 1 practice and entry fee to tournament

INDIVIDUAL INFORMATION:
First Name:
Last Name:
Date of Birth: (mm/dd/yy)
Address 1:
Address 2:
City:
Province/State:
Postal Code/Zip Code:
Country:
Phone:
Cell:
Father Name:
Mother Name:
Parent Email:
Position:
Gender:
Division:
**REMINDER - PLEASE PRINT A COPY OF THIS PAGE BEFORE CLICKING THE 'SEND' BUTTON**

Make the cheques payable to Manitoba Lightning
Mailing Address: 7 Park Terrace Drive, Winnipeg, Manitoba R2J 3C6