Takapuna Hockey Club Player Registration
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Name *
Gender *
Phone Number *
Address and Suburb *
What club did you last play for and when? *
Required
What grade did you play last year? *
What grade do you want to play this year? *
You may check more than one box
Required
What is your preferred position?
You may check more than one box
Left
Center
Right
Goalkeeper
Back
Half
Inside
Forward/Striker
Do you intend to trial for other clubs this season? *
What school do you attend? *
Please enter the school name in the 'Other' choice
Do you have coaching experience? *
If yes, at what level have you coached?
Are you interested in coaching a team? *
Team coaches pay subs at a reduced rate
Are you interested in managing a team? *
Team managers pay subs at a reduced rate
Do you have umpiring experience? *
Are you interested in volunteering as an umpire? *
Training is provided and you will be paid for each game that you umpire
Are you interested in sponsoring the Club, a team or a team activity? *
Are you interested in joining the Club Committee? *
Date of Birth *
MM
/
DD
/
YYYY
What is your ethnicity? *
This is a new requirement for registering with NHHA
Emergency Contact *
Name and Contact Number
Medical conditions
Please provide details of any medical condition we should be aware of (leave blank if none)
NHHA Consent *
By checking below you agree to allow Takapuna Hockey Club to provide your registration information to the North Harbour Hockey Association.
Required
Email Consent *
We rely on the support of our partners and sponsors to keep your fees low. By checking below you agree to allow Takapuna Hockey Club to forward marketing information from our partners/sponsors. You will receive at most 1 email per month and your contact information will not be shared with our partners/sponsors.
Required
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