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2015 EduKick Registration Form – Page 1 INSTRUCTIONS: To register online, visit our website at www.edukick.com: Or please return this 3-page registration form (completed fully & signed by Parent/Guardian & Player) wit
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Document Date: 2015-02-18 00:08:28


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City

Manchester / Madrid / Cannes / Oakville / Belo Horizonte / Puerto Vallarta / Santa Barbara / Perugia / Hennef / /

Company

MasterCard / American Express / VISA / Contact EduKick Inc. / EduKick Germany / EduKick Inc. / EduKick USA / Google / Team Tours / EduSport Enterprises Inc. / Personal Health Insurance Company / EduKick Mexico / /

Country

Germany / France / United States / Brazil / Italy / Canada / United Kingdom / Mexico / Spain / /

Currency

USD / /

EntertainmentAwardEvent

Cannes / /

Facility

Football Camp / Weekly Individual Training Camp / Soccer Training Camp / /

IndustryTerm

transportation / bank / /

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Position

player / interests / physician / surgeon / PLAYER INFORMATION Full Name / PHYSICIAN / Goalkeeper / Player / /

ProvinceOrState

Ontario / /

URL

www.edukick.com / /

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