2017 TEAM CANADA IDENTIFICATION CAMP

First Name:*
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Last Name:*
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Email Address:*
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Phone Number:*
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Birthdate:*
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Height:*
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Weight:*
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Shoot:*
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Position:*
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Last Roller Hockey Team Played For:
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Last Ice Hockey Team Played For:
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Name as Written on Passport (Full):*
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Country of Birth:*
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City of Birth:*
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Identification Camp:*
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Polo Shirt Size:*
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T-Shirt Size:*
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Helmet Size:*
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Glove Size:*
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Pant Size:
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Wheels:*
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Preferred Jersey #:
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2nd Preferred Jersey #:
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I understand that if selected for the 2017 Team Canada roster, I will be responsible for the cost of my flight and a Player Fee to cover my experience at the IIHF World Championships*
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Tryout Registration Fee:

$50