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Nelson Youth Soccer Association 308 Cedar St. Nelson V1L 2B9 Website www. nys. ca Email admin nys. ca Phone 250-551-6974 2017 Soccer Registration for House and Rep Player First Name // Gender Male Birth date dd/mm/yy Last Name Female BC Medical Number Identify any Medical Condition including Allergies and Medications Main Contact Name Relationship to Player Main Contact E-mail Main Contact Phone Mailing Address City Postal Code Emergency Contact spouse relative friend etc NYS YOUTH OUTDOOR...

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Nelson V1L 2B9 is a postal code in Canada.

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