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Registered/lnsured with BCRU? *
Team Registering For *
NOTE:These are the dates of birth that categorize the age grade qualification: U14-2005, U16- 2003 & 2004, U18- 2001 & 2002.
Jersey Size (best guess) *
Short Size (best guess): *
h PLEASE READ AND SIGN AGREEMENT
h PLEASE READ AND SIGN AGREEMENT
Please fill out this brief medical history for the purpose of our trials. If player is selected, a more extensive medical form will be required.
Prescription Medication (ie Epi Pen, Insulin, Inhalers etc.) THAT YOU CURRENTLY TAKE OR REQUIRE REGULARLY*
Do you have any medical conditions that we should be aware of: e.g. Allergies, Diabetes, Heart
Conditions, Asthma, Skin Conditions (ie itching, rashes, acne), or Any Other Medical Condition?*
Please Submit your registration and you will be directed to the payment page. You will also recieve a copy of your registration via email. This registration will not be marked complete until tryout fees has been payed. NOTE: Please click "save & pay" only once to avoid duplicate registration.