1. Name*: e.g. Derek W. Lawther
2. E-Mail* : e.g. dlawther@upei.ca
3. Telephone* : e.g. (902)566-0338
4. Division*(if you choose a Master or Junior division, use the "Comments" box to specify an alternate choice)
5. Are you a Squash PEI member?*
6. Comments (e.g. Second division, times when unavailable to play, etc.)
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