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2025 Masters Women - Hockey Queensland Championships
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Details
Fri 13 June 08:00 - Sun 15 June 2025 15:00
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Are you attending this event?
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Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Date of Birth*
Preferred playing position
Striker
Midfield
Defence
Goalkeeper
Secondary playing position
Striker
Midfield
Defence
Goalkeeper
Emergency Contact*
Please select...
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No
Name*
Phone*
Email*
Relationship to nominee*
Any Medical Issues?*
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Yes
No
Please select all that apply*
Allergies (provide details below)
Asthma
Epilepsy
Other (provide details below)
Other details
Max. 255 characters
Nominating for Qld selection*
Please select...
Yes
No
Attending Qld selection trials 12th June*
Please select...
Yes
No
Event Waiver
By accepting this waiver, you agree to the following conditions. You must:
make yourself available for all selection trials
advise coach/manager if unable to attend trials/trainings
advise coach/manager of any illness/injury concerns
I confirm that I have read the above Event Waiver in its entirety.*
I agree to the Event Waiver.*
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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