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5230 South Service Road, 2nd floor
Burlington, ON   L7L 5K2
P: Martin (905) 334-3166   Tony (416) 557-6070
E: info@lsgm.ca


BSL 2013 Player Waiting List Sign-Up Form

Name (required)
First Name Last Name Gender

Address

Contact (provide a Phone Number or E-Mail Address or both)
Phone E-Mail

Division or Age Category (required for male players)
Division

What position(s) do you wish to play?
First Choice Second Choice

If you wish, you can provide us with additional information here. Such as your playing experience or how competitive a division you wish to play in.