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Details

2024 - Open State Indoor Team Trial Nominations

Wed 02 Oct 2024 18:00 — Wed 09 Oct 2024 21:00

Lumen Christi College, 81 Station St, Martin WA 6110

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Athlete Full Name*

Date of Birth*

Athlete Gender*

Current Club*

Preferred Playing Position 1*

Preferred Playing Position 2*

Any relevant medical information we should know (allergies, medical conditions, injuries, etc)* Max. 255 characters

Can you make Trial 1*

Select registrations

2024 - Open State Indoor Team Trial Nominations

$50.00 ea

Please note

All prices are inclusive of GST.

Terms Of Registration

Athletes must be or intend to be a financial playing member of an affiliated Metropolitan Club or Regional Association for 2024.

I give permission for photographs to be taken of me during trials and used in promotional material, including on the HockeyWA website.

As part of your selection in the team, you are required to purchase a team uniform. To enable the team's apparel provider to arrange your team uniform in your size and for you to be provided with opportunities to purchase other non-essential items of team apparel, it is necessary for the apparel provider to be able to communicate with you. To that extent, we require you to provide a mobile phone number and email address, and for your consent for Hockey WA to provide these details to the apparel provider. The apparel provider will only use these details for the purposes of contacting you in relation to the team uniform and other hockey apparel and equipment.

If for any reason you do not wish to provide your phone number and/or email address to the apparel provider, alternate arrangements will be made. Please advise if you are not prepared to provide your phone number and/or email address to the apparel provider so that alternate arrangements can be put in place.

All expenses will be the responsibility of the player with full payment required before the tournament begins.

Athletes will need to purchase their own flights if selected & accommodation will only be provided up until the last day of tournament.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

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