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Details

2025 Under 16 State Teams Trial Nominations

Sat 14 Dec 2024 08:00 — Fri 10 Jan 2025 20:30

Perth Hockey Stadium, Perth Hockey Stadium, Hayman Road, Bentley, 6102

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Player First Name*

Player Surname*

Date of Birth*

Player Gender*

Players Residential Address*

Postcode*

Parent/Guardian Name*

Parent/Guardian Contact Number*

Parent/ Guardian Contact Email*

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

Please note

All prices are inclusive of GST.
A Booking fee of $95.00 applies for this event.

Terms Of Registration

Athletes must be or intend to be a financial playing member of an affiliated Metropolitan Club or Regional Association for 2025.

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.

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.*