Re-registration form for Grove Menzieshill Hockey Club SC051708
This form is to be used by current members of Grove Menzieshill Hockey Club to register to be part of the new Grove Menzieshill Hockey Club SC051708.

To enable Grove Menzieshill Hockey Club to accurately record members please fill in this form. One submission per person who is currently a member.

Current membership will lapse on 30th June 2022 if this form is not completed
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Email *
In what capacity were you a member of Grove Menzieshill Hockey Club between 01 July 2021 and 30 June 2022 *
Required
Do you wish to register for Season July 2022 - June 2023 *
Date joined (if unsure please enter 01 July 2021 *
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Member Name *
Address *
Post code *
Telephone number (h) *
Telephone number (m) *
Telephone number (w)
Date of birth *
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Email Address *
Shirt number *
In what capacity do you wish to be a member? *
Adult members - Are you PVG or first aid registered? If yes please provide level/expiry date *
16- 18 year olds - Are you PVG or first aid registered? If yes please provide level/expiry date *
U18 Members:- Which school are you at and in what year? *
Please provide details of 2 emergency contacts *
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