Beverly Mens Hockey League

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* First and last name:

* Date of birth:

* Address:

* Telephone:

* E-mail address:

* Are you now, or have you ever been a resident of BEVERLY TOWNSHIP?:

Yes

* What Position do you play?:

Goalie

Defence

Forward

* Do you want to play:

Full time

Spare

I would be willing to spare until a full time spot becomes available.

* What is the highest level of hockey that you have played?:

* How did you find out about the BMHL?:

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