2024 Hockey NSW FIELD Teams - Player Contract/Registration

Enter your email address*

ATHLETE INFORMATION

What Hockey NSW Team have you been selected in?*

Athlete's Full Name (as shown on I.D)*

This name will be used for all Education Requirements & Uniform Order Identification

Athletes Date of Birth*

Athlete Contact Number*

Athlete Email

Current Postcode*

Frequent Flyer Number (QANTAS or Virgin)

We will add this to your flight booking

UNIFORM REQUIREMENTS -

Have you had a previous player's number that you would like to continue using? (Put N/A if not applicable)*

If you have multiple, please put in order of preference. (E.g 1. 12 / 2. 5 etc)

In the case of your previous Playing Number being taken, what is your 2nd & 3rd preferences?*

In the case of your previous Playing Number being taken, what is your playing singlet/shirt size?*

In the case of your previous Playing Number being taken, what do you prefer?*

CONTRACT/POLICIES INFORMATION

I understand that the National Championship/Carnival will be played under the rules as set by Hockey Australia. I also understand that Hockey is a limited contact sport and there is a risk of injury involved in playing Hockey. I authorise any Official in charge of the National Championship/Carnival or NSW Team, in the event of illness or injury, to obtain on my behalf and at my expense any medical assistance, treatment and transportation as deemed necessary. Indemnity: Except where provided or required by law and such can not be excluded, I agree that Hockey NSW and its respective directors, officers, members, servants and agents are absolved from all liability arising from injury or damage to me, however caused, whilst participating in the National Championship/Carnival competition.I have read, understood and agree to the above terms. I warrant that all information provided is true and correct.*

As a Hockey NSW Player, I declare that I have read and understood the following documents as sent to me via email from Hockey NSW and I accept the terms contained therein. Attachment 1: Players Contract and Indemnity for Membership of a Hockey NSW State Team, Attachment 2: Hockey NSW Player Mouthguard Policy, Attachment 3: Code of Conduct as per the Hockey Australia Code of Conduct (Schedules 1 & 2 Included)*

As a Parent of a Hockey NSW Player, I declare that I have read and understood the following documents as sent to me via email from Hockey NSW and I accept the terms contained therein. Attachment 3 Code of Conduct as per the Hockey Australia Code of Conduct (Schedules 1 & 2 Included)*

If the Team member is under the age of 18 years, the Team members parent or guardian also declares that they have read, understood and accept the above listed documents.*

Name of Consenting Parent and or Guardian (if applicable)?

Parent/Guardian Contact Number

Parent/Guardian Email