Manitoba Maple Leafs Hockey Club
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Camp Registration

Please use our online registration form below.

If you chose to register by snail mail, download the form here, and mail it with your payment to:

P.O. Box 70015
Unit 1 – 1660 Kenaston Blvd. 
Winnipeg, MB R3P 0X6

Name *

Date of Birth * (DD-MM-YYYY)

Position *

Team played for during 2013-2014 season *

Level *

Email *

Parent or guardian full name *

Home phone * xxx xxx-xxxx

Cell phone * xxx xxx-xxxx

Address *

City *

State/Prov *

Zip/Postal *

Emergency Contact Name and Number * xxx xxx-xxxx

Jersey size * (XS, S, M, L, XL, XXL)

Comments (Health concerns, etc)

Are you human?

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