Wrexham Glyndwr Hockey Club Application for club membership (2023-2024 season)

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Please complete all the appropriate sections of this form. Both new and existing members are requested to complete the form in order to maintain accurate membership information and contacts. The contact information requested below is required for membership and will be managed as set out in the club Data and Privacy Policy.

Completed forms and appropriate Payment must be submitted as soon as possible.

Each member must register individually to the Governing Body Hockey Wales sport80 website. Members who are renewing will receive an email from HW. New Members please login on this link

https://hockeywales.sport80.com/login

The club membership fees cover: Membership of Wrexham Glyndwr Hockey Club, payment towards pitch hire, team teas and general running and administration of the club

Membership secretary: Pat Sharples, Grasmere, 10 Llys Rhedyn, Coedpoeth, Wrexham, LL11 3NJ

pat.a.sharples@btopenworld.com

First name (player) *

Surname (player) *

Date of birth *

YYYY

Email address *

Phone number *

Emergency contact (Name & relationship) *

Emergency contact (Number) *

Address *

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