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Wednesday 22nd of February 2012
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Registration Form for Regina Soft Tip Dart League Season 2, 2011 / 2012. Registration due no later than Friday January 13th, 2012 at 8PM.
Team Name:
League:
Mixed Doubles (Mondays)
Open 501 - 4 person (Wednesdays)
Open Cricket - 2 person (Thursdays)
Bar Location 1:
Choose Option
Western Pizza Glencairn
The Press Box
Cheers Pub
Gaebel's Brew House
Western Pizza Broadway
Juliana Pizza
Theo Bills
Bar Location 2: Must be different than Bar #1
Choose Option
Western Pizza Glencairn
The Press Box
Cheers Pub
Gaebel's Brew House
Western Pizza Broadway
Juliana Pizza
Theo Bills
Team Captain: Contact Information
Name:
Phone 1:
Phone 2:
Phone 3:
Email:
Please choose a phone number to publish on the schedule
Publish which number?:
Phone 1
Phone 2
Phone 3
Player # 2: Contact Information
Name:
Phone 1:
Phone 2:
Phone 3:
Email:
Player # 3: Contact Information
Name:
Home #:
Work #:
Cell #:
Email:
Player # 4: Contact Information
Name:
Home #:
Work #:
Cell #:
Email:
Spare Player Contact Information
Name:
Home #:
Work #:
Cell #:
Email:
Security Code:
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