BWHA - QLD U14 Training Player Registration

Details

Tue 13 Aug 2024 15:45 — Tue 17 Sep 2024 18:00

Brisbane Women's Hockey Association, 16 Melbourne Street, Windsor QLD 4030

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First name*

Last name*

Phone number*

Email address*

Address*

Players First Name*

Players Surname*

Date of Birth*

Mobile Number*

Primary Email Address*

Do you require all correspondence to be sent to a second email address?*

Second email address

Do you have any current injuries/medical concerns? Max. 255 characters

Are you unavailable for any session dates?

Is there anything else you would like us to know? Max. 255 characters

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.*