YMCA COASTAL CITY HOCKEY CLUB
61st Junior Hockey Carnival
NOMINATION FORM
Junior Carnival on Sunday 21st April 2024 at Perry Lake. Nominations close Wednesday 17 April at 5pm
Club name
Club contact (overall)
First Name
Last Name
Club contact email
example@example.com
Club contact phone number
Format: 0000 000 000.
Total team numbers
Rows
Boys
Girls
Yr 5/6 teams
Yr 7/8 teams
Yr 9/10 teams
Total
Team entry payment will be made by:
*
transfer to YMCC bank account BSB 066160 Account 1119 0255 (ref Jnr Car and your club name)
please invoice cub
credit card (see bottom of form)
Year 5/6 boys team details
Rows
Team name
Team contact email
Team contact mobile
Team 1
Team 2
Team 3
Team 4
Year 5/6 girls team details
Rows
Team name
Team contact email
Team contact
mobile
Team 1
Team 2
Team 3
Team 4
Year 7/8 boys team details
Rows
Team name
Team contact email
Team contact
mobile
Team 1
Team 2
Team 3
Team 4
Year 7/8 girls team details
Rows
Team name
Team contact email
Team contact
mobile
Team 1
Team 2
Team 3
Team 4
Year 9/10 boys team details
Rows
Team name
Team contact email
Team contact
mobile
Team 1
Team 2
Team 3
Team 4
Year 9/10 girls team details
Rows
Team name
Team contact email
Team contact
mobile
Team 1
Team 2
Team 3
Team 4
Credit card payment only
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next
( X )
Year 5/6 boys and girls teams
$190.00 AUD
$
190.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Year 7/8 boys and girls teams
$190.00 AUD
$
190.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Year 9/10 boys and girls teams
$190.00 AUD
$
190.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Nominations close Wednesday 17 April at 5pm
Queries can be sent to Juniorcarnival@ymcchockey.org.au
Submit
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