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BWHA & BHA - 2027 U12 & U14 School Holiday Clinic Registration

Tue 19 Jan 2027 06:45 - Thu 21 Jan 2027 09:15
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State Hockey Centre, 400-420 Lytton Road, Colmslie

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Players First Name*

Players Surname*

Date of Birth*

Mobile Number*

Primary Email Address*

Do you require all correspondence to be sent to a second email address?*

Second email address

Parent/Guardian Name 1 (18+ type N/A)*

Parent/Guardian Name 2

Club*

What Division were you registered in 2026? (this is your primary team that you play your most hockey with)*

Do you have any current injuries/medical concerns? Max 255 characters

Is there anything else you would like us to know? Max 255 characters

Do you consent to be photographed and/or videoed?*

Select registrations

Tuesday 19th January

$40.00 ea

Thursday 21st January

$40.00 ea

Both Tuesday 19 January & Thursday 21 January

$80.00 ea

Please note

All prices are inclusive of GST.

Terms Of Registration

I acknowledge that i have read and understood the following documents: HA Code of Conduct.

Players must be a Primary Registered BWHA or BHA Member to participate in our Development Programs.

Please also be reminded that there should not be photography or videos taken of other participants to protect their privary and consent of being captured - this includes others being in the background of a shot of our child. Any photography or video needs to be solo, and not at the disruption of the groups' overall activities (i.e., before or after the session).

A parent or guardian is required to stay and be in attendance for the full duration of each session. Participants may not be dropped off and left alone.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

Details

Basic details

Additional information

Select registrations

Terms Of Registration

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