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Official website of the NOJHL Espanola Express Jr."A" hockey Club

Youth Summer Camp Form

Player Name (required)

Date of Birth (required)

Position (required)

Player Name (required)

Jersey Size (required)

Food Allergies (required)

Medical Conditions (required)

Parent Email (required)

Parent Phone Number (required)

Parent Name (required)

Emergency Contacts Name and Phone (required) (required)

Payment method (required)

Message to Camp Co-ordinator

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