Mini Hockey Registration

$2,400.00

SKU: MINI/YOUTH HOCKEY

Mini Hockey Registration page

Price: $2,400.00

Child's first name: *

Child's surname: *

Date of birth (dd/mm/yyyy): *

Sex: *

Female

Male

Parent/Guardian's name: *

Address: *

Telephone 1: *

Telephone 2:

Emergency telephone: *

Email 1: *

Email 2:

School attented: *

Has your child participated in Field hockey before: *

Yes

Consent details: *

I agree

I request that the above child applicant be accepted for Valley Mini Hockey 2011/2012. I will not hold Valley RFC Ltd responsible for any injury to my child or damages to my property as a result of their participation in Mini Hockey.

Mini/Youth hockey payment details: *

Whole season, $2,400.00

Under 6 (age under 6 on 31 August), $1,500.00

Half season, $1,700.00

Third family member (if all three have paid for a full season), $1,200.00

Valley RFC

Tradition

MINI HOCKEY REGISTRATION