2018/2019 Registration Form Juniors Summer Competition Summer Competition Juniors Registration Form 2018/2019 Team Name*Colour shirtsTeam will participate the following competition(s)*(You can nominate your team later for the Post Christmas Summer Competition if preferable)Pre Christmas Summer Competition (Monday 8th Oct 2018 --> Friday 14th Dec 2018)Post Christmas Summer Competition (Monday 7th Jan 2019 --> Friday 1st Mar 2019)Pre- and Post Christmas Summer CompetitionSchool Year in 2018*Please confirm School Year the kids are enrolled for 2018 (multiple options) Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Where do the kids go to school?Name SchoolContact Details Team Captain/Manager/CoordinatorName* First name Surname Address* Street Address Suburb State Post Code Home phoneMobile phone*Email*Please enter these details carefully as this is the address that your confirmation email 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 Home phoneWork phoneMobile phonePhoto Permission (check one box)* I grant permission to have my team member's photo's published in any club based media I do not wish to have my team member's photo's published in any Club based media CommentsAny comments? Fill in belowFees*Registration Fees: The Registration Fees should be paid to ''Southern River Hockey Club Inc'': Bank Account BSB 633-000 A/C 1629 07174 * Please use ‘’Pre – and/or Post Christmas Summer Competition’’ AND your ‘’Team Name’’ as the reference. Registrations fees will be due before start of Competition, Friday 6th October 2018, for the Pre-Christmas Competition and Friday 4th January 2019 for the Post-Christmas Competition. Juniors/Families Pre Christmas CompetitionJuniors/Families Post Christmas CompetitionJuniors/Families Pre- and Post Christmas CompetitionTotal $ 0.00 NameThis field is for validation purposes and should be left unchanged.