| Barry Burman Summer Shootout 2009 Entry Form |
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Complete this entry form and return with a cheque in the amount of $500 dated no later than June 1, 2009.You can download a copy of the entry form here.
Make Payable to:
Orangeville District Minor Lacrosse Association
C/O 435 College Avenue
Orangeville, ON L9W 4H4 Registrations accepted with accompanying cheque for $500.00 on first come, first served basis by June 1, 2009. A full refund prior to May 25th, 2009. Team _________________________________________ Jersey Colours (Set 1) _________________________________________ Jersey Colours (Set 2) _________________________________________ Division (circle one) PeeWee | Bantam | Midget | Intermediate Rating (circle one) A | B
Contact Info Name: _________________________________________ Phone #: _________________________________________ Email: _________________________________________ |
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