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Summer Comp U11 & U13 - Tuesday
Nomination Fees to be paid in advance to TBHA. Use your surname as reference. BSB: 082 738 Account No. 69 812 9497
Juniors $50, Seniors $70
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First Name
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Last Name
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Date of Birth
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Please choose U11 or U13
U13
U11
Team Name (if you have one otherwise you will be placed in a team)
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Team Contact Name
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School
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Year Level at School
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Email Address
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Mobile Phone Number
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Emergency Contact
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Emergency Contact Mobile Number
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Hockey Club
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Preferred Position 1
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Preferred Position 2
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