Geraldton Hockey Association [Inc.] Telephone : 9956 2185 HOCKEY! Let’s play 2015 Sub-Junior Hockey Season Nominations are required from students who wish to PLAY HOCKEY this season. To assist in the organisation of teams, could parents wishing their child to participate, please complete the form below and return it to the GHA Clubrooms on Wednesday 25th March from 3.00 to 4.00pm OR the school office by no later than Wednesday 4th March, 2015. Children can be involved at various levels, according to their age, skill levels and experience. The season will commence in Term 2 and Fees will be payable by Saturday 9th May [please do not pay fees with this form]. The hockey grounds are situated at the east end of Eighth Street, Wonthella. Sub-Junior Girls. Girls only competition played on Thursdays at 4.00pm. Suitable for girls in primary school grades 3 – 6. Fee: $ TBC club dependent Sub-Junior Div 1 and Div 2 For boys and girls in primary school grades 4 – 6. Played on Saturdays at 8.30am / 9.30am / 10.30am / 11.30am Fee: $ 75 Sub-junior Half-Field. Under 8yrs. For girls & boys in primary school grades 2 & 3 Modified rules. Played on Saturdays at 11.30am. Fee: $ 60 Kyra Ingle 0419201206 Hockey Co-ordinator for Mt Tarcoola Geraldton Hockey Association : Sub-junior Player Registration Form - 2015 Please Print: Players Name: ___________________________________________ ______ Date of Birth: School Grade: ____________ _____________________________ Are you of Aboriginal or Torres Strait descent? Yes / No Telephone No: _____________________________ Emergency Contact No: ___________________________ Postal Address: ____________________________________________________________________________________ Email Address : _____________________________________________________________________________________ Please advise of any medical condition/s: _______________________________________________________________ Mount Tarcoola I wish to play in the following hockey division for the 2015 season:Sub-junior: THURSDAY GIRLS During the 2014 season I played:- / DIV 1 / DIV 2 / SJ Girls / Div 1 / Div 2 HALF-FIELD / Half-Field / Hook in2 Hockey Parents: I can help as: Coach / Assistant Coach / Manager / General help Parent name: _____________________________________ Parent’s signature: ________________________________________
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