Easterns Hockey - Eastern Gauteng Hockey Association Club Registration form

Name

Surname

ID Number

Date Of Birth

Contact Number

Email

Club Name

Team Name

Demographic

Gender

Which Membership are you registering for?

SAHA Membership EGHA Membership

Group

Seniors (19 - 34 Masters (35 and Over) Juniors (under 18) Social Player

Hockey Category

Indoor Outdoor 5's Youth

Are You A Certified Coach?

Are You A Certified Umpire?

Are You A Technical Official?

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