Junior Interest in playing Seniors Hockey

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Please complete the below form if you are a junior who is interested in playing seniors hockey for the Fremantle Cockburn Hockey Club in the 2026 winter season. Please note, this is a statement of interest, and does not guarantee seniors games or opportunities in specific grades.

Please fill out the following information and a VP will reach out with next steps. Note, the email address and other contact information should be for the Parent or Guardian.

Email *

Junior's Name *

First and last name

Parent or Guardian's Name

Parent or Guardian's Phone number (note - FCHC does not permit Juniors to be contacted directly by senior coaches - this number will be used to contact and coordinate games for the Junior). *

Gender *

Male

Female

Prefer not to say

Did you play for a Senior FCHC team during the 2025 winter season? *

Yes

If you answered yes to the previous question, please let us know which grade(s) you played in the 2025 winter season?

If you answered no to the previous question, you can skip this question.

Does the Junior have restrictions on when they can play or preferences on how they play Seniors? *

Available Friday evenings

Available Saturdays

Available Sundays

Willing to join a team for the season

Would like to be considered if a team needs numbers (but not commit to playing every weekend)

Would like to train with the Seniors

Other:

Required

Send me a copy of my responses.

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