2018/2019 Post Xmas Summer Competition Open Age Women and Masters Men Registration Form

2018/2019 Post Xmas Summer Competition Open Age Women and Masters Men Registration Form

  • Contact Details of Team Captain/Team Manager/Team Coordinator

  • Please enter these details carefully as this is the address that your confirmation email and invoice will be sent to.
  • This is the person we need to contact in a medical emergency.
  • Any comments? Fill in below
  • Team nomination fees are due by no later than Friday 18th January 2019.

    Bank details are as follows:

    Southern River Hockey Club Inc

    BSB - 633-000

    A/C - 162907174

    Reference - Team Name

  • $ 0.00
  • This field is for validation purposes and should be left unchanged.