Event registration

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Details

Club champs fees

Wed 08 Jul 2026 09:00 - Fri 10 Jul 2026 09:00

UWA Hockey Club

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First name*

Last name*

Phone number*

Email address*

Address*

Player Name*

Emergency contact name*

Emergency contact mobile*

Emergency contact relationship to player*

Player allergies or medical conditions (enter ‘none’ if no conditions)* Max 255 characters

I consent to photos for social media.*

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*