U21 Trial Registration

Agreement

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* 1. By Registering to trial for the North Harbour U21 team you agree to the following statements:
That I am/was under 21 as at Jan 1st 2015
That I am available to trial on Sunday 22nd Feb
That I am available to attend Testing on Saturday 14th Feb
That I am available to attend practices (Tuesday and Thursday evenings)
*That I am available to attend the tournament from 3rd-9th May

*Yes

*No

Please state what you can't attend

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* 2. First Name

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* 3. Last Name

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* 4. Date of Birth - In this format please - DD/MM/YYYY

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* 5. Gender

Male

Female

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* 6. Email Address for all communications

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* 7. Street Address Number and Name

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* 8. Suburb

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* 9. Cell Number

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* 10. Field Position

Striker

Midfield

Defender

Goal Keeper

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* 11. Were you involved in reps in 2014?
Either in the U21 or U18 team?

Yes

Thank-you very much for registering to trial for the North Harbour U21 team.
More info will be sent out to you a few days before the trial.

Watch our website and Facebook for more info, or contact Kim Gill on cdadmin@harbourhockey.org.nz

Thanks.

Please make sure you click the DONE button.

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* 2. First Name

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* 3. Last Name

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* 4. Date of Birth - In this format please - DD/MM/YYYY

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* 5. Gender

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* 6. Email Address for all communications

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* 7. Street Address Number and Name

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* 8. Suburb

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* 9. Cell Number

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* 10. Field Position

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* 11. Were you involved in reps in 2014?Either in the U21 or U18 team?

* 11. Were you involved in reps in 2014?
Either in the U21 or U18 team?