2021 Newcastle Masters Hockey Rep Season Nomination Form

1. 2021 STATE MASTERS CHAMPIONSHIPS

Age groups, dates, venues and accommodation details.

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* 1. 2021 MASTERS STATE CHAMPIONSHIPS - DATES & VENUES

34s & 65s - March 26-28 - WYONG - NO ACCOMMODATION REQUIRED

40S & 45S - April 30, MAY 1 & 2 - TAMWORTH - QUEST TAMWORTH 29 & 30 APRIL, 1 MAY

50s - JUNE 4-6 - GRAFTON -

55S - TAREE - JUNE 25-27 - DAIMOND HEAD RESORT - JUNE 24-26

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* 2. Player Age group nomination/s - Select all groups for which you wish to nominate.

34

40

45

50

55

65

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* 3. Umpire Age Group nomination/s - select all for which you wish to nominate

34

40

45

50

55

65

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* 4. Manager Age Group Nomination/s - select all for which you wish to nominate

34

40

45

50

55

65

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* 5. YOUR DETAILS - SURNAME

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* 6. FIRST NAME

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* 7. Date of Birth

Date

Date

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* 8. Email

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* 9. Mobile Number

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* 10. Other contact number