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Youth & Senior Summer Hockey Individual Registration
Youth, Family (4pm – 6pm)
Senior Social Grade (6pm – 9pm)
Wednesday’s & Thursday’s
27th/28th October - 22nd/23rd December (9 weeks)
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* Indicates required question
Name of Player
*
Your answer
Contact Name (if Parent)
Your answer
Contact Email
*
Your answer
Contact Phone Number
*
Your answer
Age of Player Registering
*
Your answer
Preferred day of Play
*
Wednesday
Thursday
What level of winter hockey did you play this year?
*
Premier - Reserves
Division 1 - 2
Division 3 - 4
Youth Premier
Youth Championship
Didn't play Winter Hockey
New to Hockey
Are you a goalkeeper? Goalkeepers are optional but we need to know if players wish to be put into a team as the designated goalkeeper. Goalkeepers will need to provide their own gear.
Yes
No
Clear selection
Any special considerations (e.g. if you want to play with a friend or can't play at a certain time)
*
Your answer
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