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Burbank Roller Hockey League Team Sign-Up Form

 Team Name:
 League:  
 Division:  
 Team Captain:  
 Team Alternate Captain 1:  
 Team Alternate Captain 2:  
 Jersey Color:  
 Home Phone:  
 Cell Phone:  
 Work Phone:  
 Email:  
 Years Playing as a Team:  
 Skill Level:  

Enter the players on your team.

     
Player
Position
Jersey #
1.
2.
3.
4.
5.
6.
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