This form is to be used for Underage & Opens WWCHA Rep Team Nominations.

Dates and locations for each Stage Championships can be found by following the HNSW link on the Rep Page on the WWCHA Website: https://www.hockeynsw.com.au/news/2022-field-state-championships-venue-date-announcement/

WWCHA Board and/or sub-committee will inform the successful applicants of their selections and when the event is open for registration.

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* 1. Name and Address

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* 2. Your PRIMARY Association:

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* 3. Team Gender

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* 4. Which Representative Team/s would you like to be considered for

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* 5. Preferred playing position?

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* 6. Shirt Size (sizing guide below)

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Sizing Guide

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