EMMSPL

2017 League Application

Updated: 2/11/2017

 

 

Please supply starred (*) detail

 

 

 

* Name:                                            

     (First & Last)                                                                                                                     

 

* Address:              

    (No. & Street)

* Postal Code:     

* Phone - Day:   

  Phone - Night: 

  Email Address:

*Date of Birth:    

    (MM/DD/YY -- before 1990)

                         

Questions, Comments?

Basil Jeelany

League Registrar,

416-270-9470