Barons Brigade ELITE Membership Application Form

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Barons Brigade
ELITE Membership Application
Complete the form below to apply for Barons Brigade membership.
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Name
First Name
Last Name
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E-mail* This field is required.
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Phone Number:
Area Code
Phone Number
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Birth Date:
Month
Day
Year
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What Team and Level did you play for Last?:
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What position do you Play?:
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What’s your ultimate goal?
Major Junior
NCAA
Level Up
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Why are you interested in joining Barons Brigade?
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Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
Should be Empty: