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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
Form completed by? (If completing on behalf of a child)
Your answer
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