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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.
5 to 10 years old
11 to 13 years old
14 to 16 years old
17 to 18 years old
19 to 21 years old
22 to 25 years old
26 to 35 years old
36 to 45 years old
46 years old +
Date of birth? (if under 21 years old)
Contact telephone number? (If the member is under the age of 18 then the parent's telephone number should be used)
Email address? (If the member is under the age of 18 then the parent's email address should be used)
Emergency contact name?
Emergency contact telephone number?
Team members with full kit - Blue shirt number?
Team members with full kit - White shirt number?
Preferred position of play?
Form completed by? (If completing on behalf of a child)
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