To register with Emu Plains Hockey for the 2011 season, please complete the following details and click 'Submit'.

Age as at 31/12/2011

Date of Birth (dd/mm/yyyy)

Registering for

Mens

Womens

Boys

Girls

Address

Suburb

Postcode

Phone (Home)

Phone (Work)

Phone (Mobile)

Email

Registered with Emu Plains Hockey Club in 2010

At Emu Plains Hockey Club we take great pride in the good behaviour of our members and the high standard of sportsmanship displayed. To assist everyone involved with our club we have adopted the Australian Sports Commission Codes of Behaviour as a minimum standard.

* I agree to abide by the Emu Plains Hockey Club Code of Behaviour

* I understand that I will not be permitted to play if my fees are outstanding

* Required Field