Membership & Website Registration

Fields marked * are mandatory

Website Registration

Username*		Password*

Personal Information

Address

Hockey Information

Team		Playing Position
Umpiring Level		Coaching Level		First Aid

Club Information

Membership Category*

Blue Shirt Number (Home)

White Shirt Number (Away)

Season Information

This information will be entered onto a Club database in conformity with the Data Protection Act.

* Junior members (U18) should get their parent / guardian to complete the consent form here and return it to their team captain or Chris Rielly

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Membership Secretary Chris Rielly [Email]

1st's - L 0 - 2
10-03-07

2nd's - W 3 - 0
15-03-08

3rd's - L 1 - 2
24-03-07

4th's - W 2 - 1
06-10-07

5th's - W 4 - 1
15-03-08

6th's - L 0 - 2
19-03-05

W1st's - L 2 - 4
02-12-06

W2nd's - L 0 - 10
02-12-06

Colts - W 2 - 0
17-11-05