Taster Night Form

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Welcome

Hi there, please fill out and submit this form for the Hawick Reivers Hockey Free Taster Night @ the astroturf.

4Questions

1
Child’s Name* This field is required.
First Name
Last Name
2
Child’s Age* This field is required.
P4
P5
P6
P7
3
Medical/Behavioural Information* This field is required.
4
Emergency Contact Number* This field is required.
Please enter a valid phone number.
Should be Empty:

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