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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Child's First Name*

Child's Last Name*

Child's Gender*

Child's Date of Birth*

What school does your child attend?*

Does your child play school hockey, club hockey, both or neither?*

School Hockey

Club Hockey

Both

Neither

If playing club hockey, which club does your child play for?

Launceston City

Queechy Penguins

South Launceston

Tamar Churinga

none

How many years of experience does your child have?*

Parent/Guardian Name*

Parent/Guardian Contact Number*

Parent/Guardian Email Address*

How did you hear about this session?

I have read and understand the terms and conditions In allowing my child to participate in the Hockey Tasmania (HT) Hockey Come & Try session: I ACKNOWLEDGE there are inherent dangers associated with the clinic which may result in my child being injur*

Yes

I give permission for my child's photo to be used for Hockey Tasmania promotional purposes.*

How did you find our about our Come and Try sessions?*

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