CBH Group Men's Country Championships 2025 - Hockey Western Australia

Enter your email address*

CBH Group Mens Country Championships 2024

Information

Association Name

Accommodation Details

Accommodation Name

Accommodation Address

Association Contact Liaison Details

Association Contact Liaison Name

Point of contact once teams are in Perth

Association Contact Liaison Email Address

Association Contact Liaison Mobile Number

Uniform Information

Team Colours

Please upload the uniform image file (preferably the graphic the providers use)

Choose file...

Max 5MB

Team Nomination Form

Division 1 - Men's Championship

Division 1 may only nominate one team.

Division 2 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Division 3 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Division 4 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Division 5 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Masters Division 1 - Men's Championship

Division 1 may only nominate one team.

Masters Division 2 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Umpire Nomination Form

Umpire 1 Name

Umpire 1 Accreditation

Umpire 1 Email Address

Umpire 1 Mobile Number

Please indicate which team(s) Umpire 1 is affiliated to.

(Max 2)

Would Umpire 1 like to be coached?

Would Umpire 1 like to be assessed.

(This may require matches other than team allocations)

Umpire 2 Name

Umpire 2 Accreditation

Umpire 2 Email Address

Umpire 2 Mobile Number

Please indicate which team(s) Umpire 2 is affiliated to.

(Max 2)

Would Umpire 2 like to be coached?

Would Umpire 2 like to be assessed?

(This may require matches other than team allocations)

Do you have more Umpires to list?

Fixture Request Form

Does your Association require to start late on Friday 20th June?

Other Fixture Requests:

Completion