Midleton Hockey Registration 2019-20 Season
Please complete details below for membership 2019-20 Season
Please complete one form per member

By completing this form and becoming a member of Midleton Hockey Club you agree to have read the club Code of Ethics and Ethos and agree to abide by club rules and regulations
(available here https://docs.google.com/document/d/1OwZ57OG3zF3Yw5LDN-AelVPxxlEx1ycaYKPjFVs1siU/edit?usp=sharing)

Please also see club policy documents at https://www.midletonhockey.com/policy-documents
First Name *
Your answer
Surname *
Your answer
Age *
Your answer
Date of Birth *
**NOTE** Your browser settings may display the date format in US style and may also set a default year in the year field. Please ensure you manually enter the correct dates and year.
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YYYY
Male / Female *
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