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| 2008 SummerRegistration Form |
| NAME | _______________________________________________________________ |
| ADDRESS | _______________________________________________________________ |
| CITY | _______________________________________________________________ |
| POSTAL CODE | _______________________________________________________________ |
| PHONE HOME | ____________________________WORK__________________________________ |
| BIRTH DATE | (month/day/year)__________________________________________________ |
| SCHOOL (if applicable) | _______________________________________________________________ |
| E-MAIL ADDRESS | _______________________________________________________________ |
| I would like to be considered for the COMPETITIVE TEAM _______$190.00 Uniform deposit _______$ 30.00 | |
| VOLUNTEER DEPOSIT (you can work to get this back) _______$ 25.00 | |
| Total amount of money to be submitted: $245.00 | |
| I would like to play in the HOUSE LEAGUE PROGRAM _______$145.00 | |
| VOLUNTEER DEPOSIT (you can work to get this back) _______$ 25.00 | |
| Total amount of money to be submitted: $170X.00 | |
| 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, 2008 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 | |