Summer 5s Registration Form
Fill in your details to register for Summer 5.
Name/Parent/Gardian Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
How many players do you wish to nominate?
*
1
2
3
4
P1
Child
Myself
P1 - Full Name
*
First Name
Last Name
P1 - Year of Birth
P1 - Nomination
Come & Try
Future 5s (u8 & 10)
U14s
Sunday Session (Social 5s)
Walk n Wack (perfect for parents and first timers)
P1 - Playing Experience
Brand new - Never Played
Current Club Member
Played Social Hockey
Current Club Player
Junior Player
Im going to have a crack
P2 - Full Name
*
First Name
Last Name
P2 - Year of Birth
P2 - Nomination
Come & Try
Future 5s (u8 & 10)
U14s
Sunday Session (Social Hockey)
Walk n Wack (perfect for parents and first timers)
P2 - Playing Experience
Brand new - Never Played
Current Club Member
Played Social Hockey
Current Club Player
Junior Player
Im going to have a crack
P3 - Full Name
*
First Name
Last Name
P3 - Year of Birth
P3 - Nomination
Come & Try
Future 5s (u8 & 10)
U14s
Sunday Session (Social Hockey)
Walk n Wack (perfect for parents and first timers)
P3 - Playing Experience
Brand new - Never Played
Current Club Member
Played Social Hockey
Current Club Player
Junior Player
Im going to have a crack
P4 - Full Name
*
First Name
Last Name
P4- Year of Birth
P4 - Nomination
Come & Try
Future 5s (u8 & 10)
U14s
Sunday Session
Walk n Wack (perfect for parents and first timers)
P4 - Playing Experience
Brand new - Never Played
Current Club Member
Played Social Hockey
Current Club Player
Junior Player
Im going to have a crack
Any friends you are keen to play with?
Anything we should know?
Register
Should be Empty: