2023 MAP SOUTH HOCKEY
APPLICATION
Mendota Heights, MN
Parent & Player Information
First Name
Last Name
Parent Cell Phone
Email
Player First Name
Player Last Name
Player Cell Phone
Birthday
Position
Select...
Goalie
Defense
Forward
Gender
2022-2023 Play Level (ex. AA)
2022-2023 Age Level (ex. bantam)
2022-2023 Team/Association
Billing Information
Billing Address
Billing Address 2
Billing City
Billing State
Billing State...
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(ZA) Gauteng
(ZA) Western Cape
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(ZA) Northern Cape
(ZA) Mpumalanga
(ZA) Free State
My State is not listed
Billing Country
Billing Country...
United States
Canada
United Kingdom
Afghanistan
Åland
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
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Brunei
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Cayman Islands
Central African Republic
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Chile
China
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Colombia
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Cuba
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Fiji
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Gabon
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Peru
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Poland
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Qatar
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Romania
Russia
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Saint Barthélemy
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Samoa
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Senegal
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Slovenia
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São Tomé and Príncipe
Taiwan
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Tanzania
Thailand
Togo
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Tonga
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Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
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Vanuatu
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Wallis and Futuna
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Billing Zip
Payment Information
Card Number
CVC
Exp. Month
Exp. Month
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Exp. Year
Exp. Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
Product Information***Application fees are non-refundable. Please allow 2-4 weeks after submitting your application to receive communication on the status of your application.
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$35 non-refundable application fee due at time of application
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