Victoria Playmakers Tournament

Spare Registration Form

Please mail this completed form to Keith Lylock, Playmakers Tournament Spares Coordinator, #5293 1625 Fort Street, Victoria B.C. V8R 6N4. If you have any questions please do not hesitate to contact us.

Name	__________________________
Email address	__________________________
Street address	__________________________
City	__________________________
Prov/State	__________________________
Postal/Zip	__________________________
Phone number (area code)	__________________________
Date of birth	__________________________
Positions desired	__________________________
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