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Canterbury Development Network Registration
Registration Form
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* Indicates required question
Name:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Phone Number:
*
Your answer
Email Address:
*
Your answer
Club and/or School Team
*
Your answer
2019/2020 Representative Achievements:
*
Your answer
Emergency Contact Details (Name and Phone Number):
*
Your answer
I wish to sign up for:
*
Block 1 (Monday 16 November to Wednesday 14 December
Block 2 (Monday 18 January to Wednesday 17 February 2021* NB we will also open registrations for Block 2 from end of Nov -Early January
Required
By checking this box I acknowledge and agree to the following:
*
I acknowledge that my place on this programme is subject to availability (maximum 60 people) and that the selection into this programme is based on current and future development and performance
I acknowledge that registration and payment is for either Block 1 or Block 2 of the programme and that refunds will not be given for no-shows to the programme
I agree to Canterbury Hockey passing my details onto our contracted coaches who will be planning and delivering this programme
Required
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