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Quad City DekHockey

Tournament Registration

2017 Summer Tournament Registration


Team Name

* Name of Team

Category

D1

Category

D2

Category

D3

Category

D4 Recreational

Category

Junior Division

Team Captain

* Team Captain

Email

* Email

Telephone

* Cell (999-999-9999)

Roster

* Goalie
* Email
* Player 1
* Email
* Player 2
* Email
* Player 3
* Email
* Player 4
* Email
* Player 5
* Email
* Player 6
* Email
* Player 7
* Email
Player 8
Email
Player 9
Email

* Confirmation e-mail

Please specify the e-mail address to use to send an e-mail confirming that this form was submitted. A digital copy of the form and your data will be sent to you at this address.

Email

Verification code

Verification
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