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Elite 2011-2013 Girls

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Price: $699.00

Submitting your application does not guarantee your spot in the program. ALL registrations will be reviewed and you will be contacted as we begin to build the complete roster for the program.
Player Info
Name:
Year of Birth:
Last Season Team/Association:
Level of play 2018-19:
Position:
Jersey Size:
Parent/Guardian & Contact Information
Name:
E-mail Address:
Address:
City:
Province/State:
Country:
Postal Code/Zip:
Phone:
Emergency Phone:
If player has any allergies or medical conditions, please specify below:
Medical:
Questions & Friend Requests:
Communication:
Liability Waiver found under the Contact us Menu Tab
Print name here--------------> I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT ON MY OWN FREE WILL.:
Take the opportunity to refer other athletes you feel would be a fit in the HPA program. Please include their Name, Team, Level and ideally a direct contact.: