Pembroke Lumber Kings - Open Prospects Camp

Open Prospects Camp Application Form

Name:
Parent:
Email Address:
Home Phone:
Work Phone:
Address:
City:
Prov / State:
Postal Code / ZipCode:
Date of Birth:
Height:
Weight:
Position:
Shot/Catch
Last Years Team:
Last Years League:
Last Years Age Group:
	This registration form must be followed up with a cheque forwarded to; Pembroke Lumber Kings P.O. Box 92 Pembroke, Ontario CANADA K8A 6X1 Applications are accepted first come-first serve by order of payment received.
	By submitting I am agreeing to terms above.