Event registration

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Details

Mixed Hockey 5s Competition - Team Registrations

Tue 03 Nov 2026 6:00PM - Tue 08 Dec 2026 8:00PM
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Dubbo Hockey Complex

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First name*

Last name*

Phone number*

Email address*

Address*

I acknowledge that I am registering a team, not as an individual.*

Yes

Team Name*

Division*

Team Member Name 1*

Team Member Name 2*

Team Member Name 3*

Team Member Name 4*

Team Member Name 5*

Team Member Name 6 (if required)

Team Member Name 7 (if required)

Team Member Name 8 (if required)

Team Member Name 9 (if required)

Team Member Name 10 (if required)

Family Team Registration

$150.00 ea

Mixed Social Team Registration

$150.00 ea

Mixed Division 1 Team Registration

$150.00 ea

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*