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Wiltshire Hockey
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Wiltshire Hockey (Junior) DC
Registration Form
Please
register
and
pay
before attending the centres.
You will need a JDC T-shirt which can be purchased at
www.sportingbilly.com
U14/U13 = Red, U15 = White, U16/17 = Blue
Details of the centres ,
dates and times can be
found here
Wiltshire Hockey (Junior) DC Registration Form
Players Name
*
Indicates required field
Full Name
*
First
Last
DOB (dd/mm//yyyy)
*
Email
*
Emergency Contact Number
*
School
*
Club
*
Centre
*
Melksham U14/15
Melksham U16
Melksham U17
Swindon U14/U15
Salisbury U14/U15
Goal Keeper Specific
What age group am I?
Born 2005 / 2006 = U14/U13
Born 2004 = U15
Born 2003 = U16
Born 2002 = U17
Nominated By
*
BACS / Bank Transfer Details:
Cost of JDC cycle is £45
Sort Code 30-98-41
Account Number 04716516
Lloyds Bank - please use your
childs name
as the reference.
NB: Payment details will appear again once you click submit..
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