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
Please also see club policy documents at
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.
Male / Female
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