University of Waikato Hockey Club Muster Registration
First name *
Your answer
Last name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Gender *
Preferred playing position 1
Preferred playing position 2
What club did you play for last year? *
Previous hockey experience (school, club, rep teams)
Your answer
What team are you trialing for? *
If you have selected Premier, would you like to be considered for the Prem reserve team if you do not make the premier team?
Are you interested in being an umpire (or learning to umpire) this season? *
Are you interested in joining the club committee? *
Term address *
Your answer
Permanent address (if different from above)
Your answer
Are you a Waikato University student? *
If yes, what is your student ID number?
Your answer
If you attend a different tertiary institute, type it here
Your answer
Are you a current secondary school student? *
Email Address *
Your answer
Mobile phone number *
Your answer
Name on Facebook page (if you have one - we use Facebook to communicate with teams)
Your answer
Emergency Contact Person *
In the event of an emergency who is your point of contact in Hamilton. Please provide name and phone number.
Your answer
I agree to this personal information being provided to the University of Waikato. The hockey club has obligations under the Privacy Act 1993 regarding its collection, use, storage and disclosure of personal information of an individual. The personal information collected will be used for the purposes of aligning information to the student management system including addition of club alumni. If you wish to access or correct your personal information, please email georgia.tong@waikato.ac.nz. *
The University has the right to use photographs taken while competing in club uniform for the purposes of university publication such as advertising, brochures, newsletters, and social media. If individual club member members are identified for publication feature approval will be sought by the University directly with the person concerned. *
I accept that if I am successful in being selected into a University of Waikato hockey team that I have chosen to trial for that I am committed to play for this team in the 2020 season. I also agree to pay the required fees by the due date (fees and due date will be announced soon). *
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