2020 Interested Players
Please answer all questions
Sign in to Google to save your progress. Learn more
Name *
First and last name
Date of birth *
MM
/
DD
/
YYYY
Email *
Phone number *
Where do you play?
What team are you interested in
What teams have you previously played for?
Privacy
We collect this information from you in order to run our hockey club. We share this information with WHA and HNZ in order to officially register you as a player. If you choose not to enter this information, we'll be unable to grant you membership.
You have the right to view any personal information we hold about you, and ask for it to be corrected. To do this please contact us at president@northernunited.co.nz, or 027 327 4669, or PO Box 1030, Wellington.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northern United Hockey Club. Report Abuse
Google Forms