Floorball New Zealand U19 Men Development Session
Complete this registration form to register for the U19 men development session. Players are invited to attend the whole weekend or individual sessions.

Eligibility criteria:
Players born 1.1.2002 – 27.4.2006.

Friday 26th June 7-9pm ASB Sports Centre

Saturday 27th June 10-3pm Upper Hutt Expression

Sunday 28th June 10-12 and 1-3 ASB Sports Centre

$50 for the weekend
$15 per session. A session is each 2 hour block. There are 5 sessions over the weekend.

Payment is to be made prior to the weekend via internet banking.
Please make payment to Floorball NZ account: 38-9018-0178844-00
With the players surname and U19 Men as reference
Players First Name *
Players Surname *
Date of birth *
Current Club playing for *
Mobile phone number *
Email Contact *
What sessions can you attend? *
Parent/Caregiver Approval: I fully support my son's involvement in the development weekend. *
Parents Name if nominee is under 18
Parents email if nominee is under 18
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