Expression of interest - Platinum (Yr 9-13)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please note - This is not your official registration. This will come at a later date.

Are you looking to play for a Girls or Boys team? *

Girls

Boys

Players Name *

Player School Year *

Yr 9

Yr 10

Yr 11

Yr 12

Yr 13

Preferred Playing Position *

Striker

Midfield

Defender

Goalie

Any/Don't know

Preferred

Backup

Did you play for the Rangiora Hockey Club last year? *

Yes

If you are new to RHC, what (if any) previous hockey experience do you have?

Do you have a current and valid My Vaccine Pass *

Yes

Player's Date of Birth *

YYYY

Mobile phone number *

Please provide a mobile phone number as your primary contact - this will be used for team texts

Parent email *

Player email

Address *

Please enter your full address including postcode

Emergency Contact *

Please provide an emergency contact's details (Name, mobile phone, and relation to player)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy