HookedOnHockey Registration Form
2023 Season
Child's Details
Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Gender
*
Male
Female
Transgender
Non-Binary
Prefer not to respond
Other
My child participated in the Dale Hockey HookedOnHockey program in 2022
*
Yes
No
School Year in 2023
*
Please Select
Pre-Primary
Year 1
Year 2
Year 3
Year 4
Parent/Guardian Details
Name
*
First Name
Last Name
Home Phone
-
Area Code
Phone Number
Mobile Phone
*
-
Area Code
Phone Number
Email
*
Confirmation Email
example@example.com
Hooked Registration Pack Details
Stick Size
*
Please Select
26" = player height 108cm & under
28" = player height 109cm-122cm
30" = player height 123cm-128cm
32" = player height 129cm-136cm
34" = player height 137cm-152cm
36" = player height 153cm & above
Stick Colour
*
Please Select
Pink
Red
Blue
Orange
Green
Shin Guards
*
Please Select
Blue
Fuchsia
Optional Extras
*
No Thanks!
Yes - Stick Bag ($20 paid directly to club)
Choose Stick Bag Colour
Please Select
Black
Blue
Pink
Orange
Green
Purple
Red
Submit
Should be Empty: