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GVBA Premier and Jr. Premier Registration Form

If you are interested in trying out for the GVBA midget-aged Premier or Jr. Premier teams, please fill in and submit the following form on-line (* are required fields)(**Please provide at least one e-mail address for contact purposes). Alternatively, you may  print THIS PDF, fill it in and bring it with you to the parent information meeting or the assessment camps:

*Name (First, Last):

*Date of Birth (mm/dd/year):

*Mailing Address:

*City:         *Postal Code:

*Municipality (e.g. Saanich, Oak Bay):

*High School: 

*2009 Team:

*Player Home Phone:
Player Cell Phone:
**Main Contact E-Mail:

Mother's Name:

Mother's Home Phone:
Mother's Cell Phone:
**Mother's E-Mail: 

Father's Name:

Father's Home Phone:
Father's Cell Phone:
**Father's E-Mail:

Please hit the submit button below and your information will be e-mailed to our registrar and you will be directed back to the GVBA HPD page.

 
 
 
 
 
 
 
 
 

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