2024 HOCKEY SHOWCASE LONDON / ENGLAND
Saturday 7th December 2024
Name:
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Country Code
Phone Number
Parent / Guardian's Email
*
example@example.com
Parent's Phone Number
*
-
Country Code
Phone Number
Do you have any medical conditions or injuries we should be aware of?
*
Please list your club history and if you have been selected for any regional or national representation:
Confirm Preferred Playing Position
*
GK
Fullback
Half Back
Screen
Midfield
Forward
Would you like an individual player meeting following the game, where we can provide feedback on your performance and you can answer any questions you may have?
*
Yes
No
Undecided
Any additional information you think we should know:
Submit
Should be Empty: