University of Waikato Hockey Club Muster Registration

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First name *

Last name *

Date of birth *

YYYY

Gender *

Female

Male

Prefer not to say

Other:

Preferred playing position 1

Attack

Mid field

Defence

Goal keeper

Clear selection

Preferred playing position 2

Attack

Mid field

Defence

Goal keeper

Clear selection

What club did you play for last year? *

University of Waikato

None

Other:

Previous hockey experience (school, club, rep teams)

What team are you trialing for? *

Premier

Prem Reserve

Reserve 2

Social

If you have selected Premier, would you like to be considered for the Prem reserve team if you do not make the premier team?

Yes

Clear selection

Are you interested in being an umpire (or learning to umpire) this season? *

Yes

Are you interested in joining the club committee? *

Yes

Term address *

Permanent address (if different from above)

Are you a Waikato University student? *

Yes

I used to be but I have graduated

If yes, what is your student ID number?

If you attend a different tertiary institute, type it here

Are you a current secondary school student? *

Yes

Email Address *

Mobile phone number *

Name on Facebook page (if you have one - we use Facebook to communicate with teams)

Emergency Contact Person *

In the event of an emergency who is your point of contact in Hamilton. Please provide name and phone number.

I agree to this personal information being provided to the University of Waikato. The hockey club has obligations under the Privacy Act 1993 regarding its collection, use, storage and disclosure of personal information of an individual. The personal information collected will be used for the purposes of aligning information to the student management system including addition of club alumni. If you wish to access or correct your personal information, please email georgia.tong@waikato.ac.nz. *

Yes

The University has the right to use photographs taken while competing in club uniform for the purposes of university publication such as advertising, brochures, newsletters, and social media. If individual club member members are identified for publication feature approval will be sought by the University directly with the person concerned. *

Yes

I accept that if I am successful in being selected into a University of Waikato hockey team that I have chosen to trial for that I am committed to play for this team in the 2020 season. I also agree to pay the required fees by the due date (fees and due date will be announced soon). *

Yes

Submit

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