Anaheim Ducks G.O.A.L. Mini 1-on-1 Tournament

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Participant's Name*

Birthday*

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Day

Year

Email Address*

Past Participant?*

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Position*

Shooter Goalie

Youth Hockey Team*

Age Group*

Mite (8 and under) Squirt (10 and under) Pee Wee (12 and under) High School (all high school students)

At which partner rink will you participate?*

Yorba Linda ICE (Saturday, October 19th) Anaheim ICE (Saturday, October 26th) Lakewood ICE (Saturday, November 2nd) San Diego Ice Arena (Saturday, November 9th)

Under Armour Moisture Control Shirt Size*

Shirts are tight-fitting

Email of Friend Who Referred You

Payment Information

Name on Credit Card*

Promo Code (if applicable)

Credit Card Type*

Credit Card Number*

Expiration Date

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