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2017 AUHC JUNIOR REGISTRATION
Registration closes Sunday 19th March 2017
Fees due by Sunday 2nd April 2017

Muster Details:
1-3PM, Sunday 12th March 2016
Lloyd Elsmore Park, Pakuranga
(Please bring shinpads and a mouthguard)

Please email juniors@auhc.org if you have any questions or if you are registering after 19th March.

A copy of the responses will be emailed to the address below.

Email address
Player Details
First Name
Your answer
Last Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
School
Your answer
School Year
Shirt Size
Your answer
Street Address
Your answer
Suburb
Your answer
Post Code
Your answer
Hockey Experience
Did you play in 2016?
Previous club/grade/team
Your answer
Grade registering for
Preferred positions
Choose as many as you like
I would like to play with (Year 6 and below):
Your answer
Medical
Emergency contact details specified on next page
My child has the following medical condition(s):
Your answer
Declaration
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