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2010 SummerRegistration Form

NAME	_______________________________________________________________
ADDRESS	_______________________________________________________________
CITY	_______________________________________________________________
POSTAL CODE	_______________________________________________________________
PHONE   HOME	______________________WORK____________________CELL_________________
BIRTH DATE	(month/day/year)__________________________________________________
SCHOOL (if applicable)	_______________________________________________________________
E-MAIL ADDRESS	_______________________________________________________________
I would like to be considered for the COMPETITIVE TEAM   _______To Be Determined                                                               Uniform deposit  _______$  30.00
VOLUNTEER DEPOSIT (you can work to get this back)      _______$  25.00
Total amount of money to be submitted:                             To Be Determined
I would like to play in the HOUSE LEAGUE PROGRAM      _______To Be Determined
VOLUNTEER DEPOSIT (you can work to get this back)      _______$  25.00
Total amount of money to be submitted:                             To Be Determined
As a member of the Rec Program please order me a shirt    _______size (s,m,l,xl)
PLEASE NOTE -CHEQUES ARE DUE ON YOUR FIRST GRASS FIELD TIME CHEQUES WILL NOT BE CASHED UNTIL THE TEAM PLACEMENT IS COMPLETE
PLEASE NOTE THAT REGISTRATION IS NON-REFUNDABLE AFTER MAY 8, 2009 AS THE FEES WILL HAVE BEEN PAID TO THE SPORTS ASSOCIATIONS AND ARE NOT REFUNDABLE
PLEASE MAKE THE CHEQUE PAYABLE TO: WATERLOO FIELD HOCKEY
PLEASE RETURN BOTH THE REGISTRATION FORM AND THE PERSONAL INFORMATION SHEET TO:   Waterloo Women's Field Hockey Club c/o 141 Wake Robin Drive Kitchener, ON, N2E 3L6
Please refer questions to contactwwfhc@waterloofieldhockeyclub.com