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Oldham Hockey Club Membership Registration
For completion by all adult members and parents on behalf of any young (children) members. A child is defined as anyone under the age of 18 years.
Member name? *
Your answer
Gender? *
Age bracket? *
Date of birth? (if under 21 years old)
MM
/
DD
/
YYYY
Contact telephone number? (If the member is under the age of 18 then the parent's telephone number should be used) *
Your answer
Email address? (If the member is under the age of 18 then the parent's email address should be used) *
Your answer
Home address?
Your answer
Emergency contact name? *
Your answer
Emergency contact telephone number? *
Your answer
Team members with full kit - blue shirt number?
Your answer
Team members with full kit - white shirt number?
Your answer
Preferred position of play?
Your answer
Do you consent to photographs of yourself/your child being used in OHC promotional material and social media? *
Disclaimer: *
Required
Form completed by? (If completing on behalf of a child)
Your answer
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