Masters Representative Registration Form

Masters Representative Registration

Complete the form below and submit to assist us in forming teams.
Name*

First NameLast Name
E-mail*
example@example.com
HNSW Member #
Phone Number:*

Area CodePhone Number
Gender*

MaleFemale
Birth Date:*

DayMonthYear
Masters Age Group*
Age groups
If you require SOCKS select size
Sock sizes
Do you Require Accommodation?*

YesNo
I need accommodation for the following nights
Please specify dates and nights
Do you require a MOUTHGUARD waiver?.*

YesNo
Do you require a SHIN PAD waiver?*

YesNo
Preferred Playing Position*
Position
For more information regarding womens and mens master please visit

https://www.hockeynsw.com.au/masters/
Men's Uniforms and Questions
MENS. If you don't own SHORTS select size
Short sizes
MENS. Playing Shirt Size
Shirt sizes
Do you wish to nominate for STATE SELECTION?.

YesNo
Women's Uniforms
WOMENS. If you don't own a SKIRT select size
Skirt sizes
WOMENS. Playing SHIRT size
Shirt sizes
Should be Empty:

Masters Representative Registration