2019 Avon/ S. Michael's Club Summer Hockey Registration

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Please use a separate form for each player you are registering. Registrations close on the 27th September 2019

Email *

Player's Full Name: *

Phone Number: *

Select the Grade you wish to play in *

Junior Grade (Year 3 -4)

Junior Grade (Year 5 -6)

Intermediate (Year 7- 8)

Secondary (Year 9 – 13)

Adult Grade (Novice)

Adult Grade (Intermediate - regular senior Player)

Adult Grade (Experienced – Play in Div 2 or above)

What night Would you prefer to play on? *

Mondays

Tuesdays

Either

Player's Experience: *

Never Played Before

1 Year

2 Years

3 years

4 or more years

Regular Senior player

Play in Div 2 or above

Preferred Position *

Forwards

Halves

Backs

Goalie

Required

Any Injuries or Medical Conditions we should be aware of:

Emergency Contact: Person's Name and Relationship *

Emergency Contact Person's Phone Number *

Any Activities or time away that may interfere with the Summer Hockey Season?)

Any Additional comments or Requests ( e.g. team you wish to be in)

Submit

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