Newcastle Masters Hockey Rep Season 2020 Nomination Form

1. 2020 STATE MASTERS CHAMPIONSHIPS

Age groups, dates, venues and accommodation details.

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* 1. 2020 MASTERS STATE CHAMPIONSHIPS - DATES & VENUES

50s & 65s - March 13, 14 & 15 - BATHURST - BATHURST MOTOR INN - BOOKED FOR 12, 13 & 14 MARCH

34s & 55s - April 3, 4 & 5 - MOOREBANK - TRAVELODGE BANKSTOWN - BOOKED FOR 2, 3 & 4 APRIL

40s & 45s - May 1, 2 & 3 - TAMWORTH - CITYSIDER MOTEL - BOOKED FOR 30 APRIL, 1 & 2 MAY

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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