6-a-side Player Entry for SCHOOLS

Please complete form below if playing 6-a-side with PLC or Ravenswood in Term 4 2016


SCHOOL ATTENDING
Please select from options listed
PLAYER DETAILS
Name *
Name
Please include all details ie house number, street, suburb, post code
Date of Birth *
Date of Birth
NOTE Month to be entered first
Please leave space between no. ie xxxx xxx xxx
Are you registered with Hockey NSW? *
If you are playing club hockey in 2016 you will be registered with HNSW.
PARENT GUARDIAN DETAILS (FOR PLAYER UNDER 18)
Name
Name
Please leave space between no. ie xxxx xxx xxx
If NO, please complete emergency contact details below
Please leave space between no. ie xxxx xxx xxx