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  Regina, Canada 

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Parent / Guardian Information

Primary - Parent / Gaurdian

     How many children are you registering?                          

     Parent First Name:
     Parent Last Name:
As the PRIMARY parent or guardian, please enter your first and last name.
     Street address:
     City / Province:


     Postal code:  A9A 9A9
Each child you register must reside primarily at this mailing address.
     Primary phone:  555-5555
     Secondary phone:  555-5555
Home phone numbers are used to contact you regarding NRLL specific information and in the case of emergencies. 
     Enter your email address:
     Please confirm email address:


Registration confirmation will be sent to this email address.  Please ensure it is correct.
Volunteer your time to the children of NRLL:
     "There is nothing stronger than the heart of a volunteer."
     - Lt. Col. James H. Doolittle

Help us to improve NRLL by volunteering your time.  Team Coaching includes assisting and co-coaching activities.  Team and Parent Reps. collect dues, organize fundraising, end-season uniform collection, team communications, etc.

Secondary - Parent / Gaurdian (optional)
     Parent First name:
     Parent Last name:
Please enter the first and last name of the SECONDARY parent or guardian.
     Primary phone:  555-5555
     Secondary phone:  555-5555
Additional phone numbers are used to contact you regarding NRLL specific information and in the case of emergencies. 
Volunteer your time to the children of NRLL:

     
 

 

 

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