2024 Legion Nationals Team MB Intent Form

May 30th - July 6th, 2024Winnipeg, Manitoba

# of individuals you want to register

* Required fields

Are you a new or renewing member?

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Hometown

Team

Personal E-mail Address *

Home Address *

Postal Code *

Phone Number *

City/Town *

Event

Event *

Category *

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