Takapuna Hockey Club Player Registration 2023

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

Email *

Name *

First name and last name

Competition *

Which competition are you registering for?

Mens

Womens

Phone Number *

Address and Suburb *

What club did you last play for and when? *

Takapuna last season

Other:

Required

What grade did you play last year? *

Prem 1

Prem 2

Prem 3

Div 1

Div 2

Div 3

Did not play last year

Other:

What grade do you want to play this year? *

You may check more than one box

Prem 1

Prem 2

Prem 3

Div 1

Div 2

Div 3

Required

What is your preferred position?

You may check more than one box

Left

Center

Right

Goalkeeper

Back

Half

Inside

Forward/Striker

Club Trials

Please indicate which trials you plan to attend

Saturday 11th February

Sunday 19th February

Men P1,P2

Women P1,P2

Men P3, D1,D2

Women P3,D1

Women D2,D3

Do you intend to trial for other clubs this season? *

Yes

Do you play school hockey? *

If yes, please enter your school name in the 'Other' field

Other:

Do you have coaching experience? *

If yes, please write a summary of your experience in the 'Other' field

Other:

Are you interested in coaching a team? *

Team coaches pay subs at a reduced rate

Yes

Are you interested in managing a team? *

Team managers pay subs at a reduced rate

Yes

Do you have umpiring experience? *

Yes

Are you interested in volunteering as an umpire? *

Training is provided and you will be paid for each game that you umpire

Yes

Are you interested in sponsoring the Club, a team or a team activity? *

Yes

Are you interested in joining the Club Committee? *

Yes

Date of Birth *

YYYY

What is your ethnicity? *

This information is required by NHHA

Asian

Maori

NZ European

Pacific Islander

Other:

Emergency Contact Person *

Please provide the name of a person we can contact in case of emergency

Emergency Contact Phone Number *

Please provide a phone number for your emergency contact person

Medical conditions

Please provide details of any medical condition we should be aware of (leave blank if none)

NHHA Consent *

By checking below you agree to allow Takapuna Hockey Club to provide your registration information to the North Harbour Hockey Association.

I consent

Required

Email Consent *

We rely on the support of our partners and sponsors to keep your fees low. By checking below you agree to allow Takapuna Hockey Club to forward marketing information from our partners/sponsors. You will receive at most 1 email per month and your contact information will not be shared with our partners/sponsors.

I consent

I do not consent to receive marketing information from Takapuna Hockey Club

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Takapuna Hockey Club. Report Abuse

Forms