Hook in 2 Hockey - register your interest
For kids aged 6+ - for more info email juniorcoordinator.canterburyhc@gmail.com or see https://www.revolutionise.com.au/canterburyhc/hookin2hockey
Child 1 Name
*
First Name
Last Name
Year of birth
Date of birth
*
-
Day
-
Month
Year
Date
Child 2 Name
First Name
Last Name
Year of birth
Child 2 date of birth
-
Day
-
Month
Year
Date
Parent / Guardian Name
*
First Name
Last Name
Contact email
*
example@example.com
2nd Parent / Guardian name (if required)
First Name
Last Name
2nd Contact email (if required)
example@example.com
Contact Phone Number
-
Area Code
Phone Number
Anything you'd like to let us know?
Submit
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