SHOOTING STARS ACADEMY REGISTRATION FORM
Please answer all parts of this form to register and secure a place in the FEBRUARY 2017 SHOOTING STARS ACADEMY hosted by Muckross Hockey Club for OUTFIELD PLAYERS.

ACADEMY DATES: 23 & 24 FEBRUARY 2017
ACADEMY TIMES: 09:30 - 13:00
ACADEMY LOCATION: MUCKROSS PARK COLLEGE
ACADEMY AGES: 13 - 16 (YR1 - YR4)
ACADEMY COST: €75

Once the registration form is submitted, you will be contacted within two days confirming your registration and place in February's academy.

If you have any queries regarding the registration process, please email juniors@muckrosshc.com

Player's Name:
Your answer
Player's Date of Birth
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DD
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YYYY
Player's School
Your answer
Team in School
Is the player playing club hockey? If so, please state for which club and which team(s) within the club.
Your answer
Has the player participated in Leinster Development programs?
Emergency Contact Name 1
Your answer
Emergency Contact Number 1
Your answer
Emergency Contact Name 2
Your answer
Emergency Contact Number 2
Your answer
Is there any medical information / injuries that the coaches should be informed about regarding the player?
Your answer
Best email address for receiving notifications / academy information:
Your answer
Best contact number for receiving text updates / notifications:
Your answer
What KEY SKILLS would the player like to develop while attending the academy sessions?
Your answer
Please include any other comments / information that you would like to be passed onto the coaches regarding the player:
Your answer
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