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Youth Registration Form

* required fields

Player Information
Family Name *
Name *
Date of Birth *
Age *
Home Phone *
Address *
City *
Postal Code *
Mother's Name *
Work Phone
Father's Name *
Work Phone
In Case of Emergency
Name *
Phone *
Medicare Number *
Expiry Date *
Summer Basketball Camp
Medical Conditions
 

 

 

 

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websitesl
 
DJ SPORTS CORNER
  • SOCIALIZATION:
  • EDUCATION:
  • SPORTS
  • SITES:
  • YBL RULES
    		•
     
     
     
    Montreal:
    Little Burgundy Sports Center
    1825 notre dame west
    H3J 2Y4
    514-799-8130
    djohn@djsportsclub.org    		 Montreal:
    4115, rue Saint-Jacques Ouest
    H4C 1J3
    514-799-8130
    djohn@djsportsclub.org

    Montreal:
    Douglas
    6875 LaSalle Blvd.
    H4H 1R3
    514-799-8130
    djohn@djsportsclub.org

    		 West Island:
    St.Thomas High School
    120 Ambassador
    H9R 1S8
    514-799-8130
    djohn@djsportsclub.org

    South Shore:
    George Vanier
    3400 Boisclaire
    J4Z 2C2
    514-898-8542
    mbrown@djsportsclub.org
    xxx