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1
Player Name
First Name
Last Name
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2
Parent Name
First Name
Last Name
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3
Phone Number
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4
Email
example@example.com
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5
Player Birth Year
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6
Current Team
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7
What area(s) of your game are you looking to improve?
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8
By improving the above, how do you feel that will help your game?
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9
What is your dream goal in hockey?
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10
Do you feel Shaw Hockey Performance can help you achieve the above answers?
YES
NO
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11
Do you want to begin training with Shaw Hockey Performance?
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12
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