QIHC Social League Registration
First Name *
Middle Name/Names
Last Name *
NZIHF Grade *
Gender *
Date of birth *
MM
/
DD
/
YYYY
Home Phone
Mobile Phone *
Email address *
Address *
Suburb *
City *
Required
Country of Birth *
Citizenship- Please tick all that apply *
Required
Team *
Jersey Number
If QIHC had Social League merchandise available would you purchase items?
Clear selection
Any other helpful comments
By registering, I acknowledge that I have read and agree to abide by the Queenstown Ice Hockey Code of Conduct. If playing Social I acknowledge that I have read and agree to abide by the Social League Code of Conduct and Rules https://queenstownicehockey.co.nz/socialcodeofconduct.php https://queenstownicehockey.co.nz/socialhockey.php DECLARATION: I declare that I am over 18 and the above details are to my knowledge true and correct. I agree to pay all the fees and costs incurred in my playing season; and I understand that any outstanding fees from previous seasons must be paid prior to my registration being accepted. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy