2012 Hamilton Ironmen Registration

Identification

First Name* Last Name*

Date of Birth (mm/dd/yyyy) or click for popup calendar*

Address

Street Address*

City* , Ontario Postal Code*

Valid Postal Codes

Hamilton codes are: L8E, L8G, L8H, L8J, L8K, L8L, L8M, L8N, L8P, L8R, L8S, L8T, L8V, L8W, L9A, L9B, L9C, L9K

Shared with Niagara: L0R1B0, L0R1C0, L0R1G0, L0R1M0, L0R1Y0, L0R2A0, L0R2J0

Shared with Brantford: L9H, L0R2H0, L0R1W0

Contact and Personal

Area Code (* ) Phone Number* Email Address*

Height* Weight* Playing Position*

School* Golf Shirt Size Shorts size

Equipment - Check any that you own and intend to use

Helmet Shoulder Pads Pants Soft Pads

Note: * Indicates mandatory Field