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Junior Registration for 2012
Your Email Address:
Players Full Name:
Players Date of Birth:
DD
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MMM
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YYYY
1999
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2001
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2003
2004
Players born in 2004 need to contact us first
Ice Hockey involvement in 2011/12:
Roller Hockey involvement in 2011/12:
Height
-select-
smaller than 118cm - 3ft 10in
96cm - 3ft 2in
98cm - 3ft 2in
100cm - 3ft 3in
102cm - 3ft 4in
104cm - 3ft 5in
106cm - 3ft 6in
108cm - 3ft 6in
110cm - 3ft 7in
112cm - 3ft 8in
114cm - 3ft 8in
116cm - 3ft 9in
118cm - 3ft 10in
120cm - 3ft 11in
122cm - 4ft 0in
124cm - 4ft 0in
126cm - 4ft 1in
128cm - 4ft 2in
130cm - 4ft 2in
132cm - 4ft 3in
134cm - 4ft 4in
136cm - 4ft 5in
138cm - 4ft 6in
140cm - 4ft 7in
142cm - 4ft 7in
144cm - 4ft 8in
146cm - 4ft 9in
148cm - 4ft 10in
150cm - 4ft 11in
152cm - 4ft 11in
154cm - 5ft 0in
156cm - 5ft 1in
158cm - 5ft 2in
160cm - 5ft 2in
162cm - 5ft 3in
164cm - 5ft 4in
166cm - 5ft 5in
168cm - 5ft 6in
First choice Shirt number
Dont mind
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98
Second preference Shirt number
Dont mind
1
2
3
4
5
6
7
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9
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98
Shirt Size
click for help
-Select-
L
M
S
XS
Name wanted on back of shirt
Playing position
-Select-
Forward
Defence
F or D
Goalie
Phone number (Home)
Phone number (Mobile)
Mailing address
List any weekends that you are not available to play
List names of any players you would like to play alongside.
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I understand and accept that neither the Thames Valley Summer League nor its organisers will take any responsibility or liability for any injury, loss or damage incurred as a result of events happening within the competition.
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