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Get 2011 Membership Registration Form - York University - Yorku

Of age: Mother s Name: (Female legal guardian) Phone: Cell: Email: Email 2: Address: City: Province: Postal Code: Phone: Email: Father s Name: (Male legal guardian) Phone: Cell: Email: Email 2: Gender: Ontario Health Card Number (including expiration): Citizenship: Birth Date: (New Members: A copy of birth certificate must accompany registration!) YUTC STANDARD UNIFORM INFORMATION: Singlet Size: T-Shirt Size: OPTIONAL PIECES: Hooded Sweatshirt: $45 Full Year Jan 1st to Dec 31st (Indoor,.

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