2019 Smarter than Smoking WA Club Championship

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Calling all junior players in school years 7,8,9 & 10

Southern River is inviting junior players to participate in Hockey WA’s Club Championships, held during the July School holidays at Perth Hockey Stadium and another venue.

Club Championships bring teams together from all over the state to participate in a round robin tournament, playing a number of shorter timed games for this event. Games are played on turf.

J 7/8 WA Club Championships (Boys): Monday 8th July – Wednesday 10th July
J 7/8 WA Club Championships (Girls): Wednesday 10th July – Friday 12th July
J 9/10 WA Club Championships (Boys): Monday 15th July – Wednesday 17th July
J 9/10 WA Club Championships (Girls): Wednesday 17th July – Friday 19th July

Registration is $80

(This includes Nomination and Umpire Fees)

Entries closes 19 June 2019

2019 Club Championships

Player Name*
Birth Date*
Player will participate in the following at carnival*
If not enough numbers are received to have a girls team, girls will be participating in the boys competition. Teams will be combined into a higher age group, if not enough numbers are received to have their own team.
School Year in 2019*
Please confirm school year of the player for 2019
Registered Member at Southern River Hockey Club?*
Previous hockey experience?*
Parent Volunteers
Show your abiltity to volunteer during carnival
- Coach
- Manager
- Umpire
- Transport of players/parents
Contact Details of Parent/Gardian
Name*
First Name Surname
Address*
Street Address Suburb Post Code
Mobile Phone*
Email*
Please enter these details carefully as this is the address that your confirmation email and information will be sent to.
EMERGENCY CONTACT DETAILS*
This is the person we need to contact in a medical emergency.
- Yes (click here if details are as above)
- No (click no and enter emergency contact details below)
Name
First Name Surname
Mobile Phone*
Photo Permission (check one box)*
- I grant permission to have my child photo's published in any club based media
- I do not wish to have my child photo's published in any club based media
Comments
Any comments? Fill in below
Club Championship Registration Fee*
$80 Player registration fees are due by no later than Thursday 17 June 2019. Payable to team manager. * Own transport needs to be aranged.
Price: $ 80.00
Email
This field is for validation purposes and should be left unchanged.

Calling all junior players in school years 7,8,9 & 10

Registration is $80

Entries closes 19 June 2019

2019 Club Championships

Contact Details of Parent/Gardian