REGISTRATION – Border Indoor Hockey

Border Indoor Hockey warmly welcomes all players, from experienced players to beginners, no matter what age.

Register now using the form below:

Registration Form

First Name
Last Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email
Phone
Male / Female
Date of Birth
Hockey Victoria Number
Highest level of Hockey (winter competition) you have played in 2017 ?
Who is your winter club?
Fee's Fees are due before Round 1 - If not paid you will not be covered by the insurance policy. $120 (Junior Comp.) $160 (Senior Comp.) - existing member of a Hockey Albury Wodonga affiliated Clubs $30 extra- if not an existing member of a Hockey Albury Wodonga affiliated Club Note: the additional $30 is a State Victoria requirement, and provides the player access to insurance. Fees can be paid by accessing the Link at the bottom of this form. Alternatively fee's can be paid in person a week before competition start date..
Rules In the event of my/my child's admission as a member, I/my child agree to be bound by the rules of the Border Indoor Hockey for the period of membership
Photographs I give permission for Photographs of myself/my child to appear on the www.borderindoorhockey.com.au website or in other forms of media releases & to include my name.
Code of Conduct I/and or my child have read & understood & agree to abide by the "Code of Conduct" of Border Indoor Hockey. - All members & supporters of Border Indoor Hockey shall conduct themselves in the spirit of good sportsmanship & show respect to team mates, officials & spectators at all time.
Emergency Contact Person
Emergency Contact Person Phone
Indoor Help
EXPRESSION OF INTEREST: PLAYERS, PARENTS, SPECTATORS & other SUPPORTERS please tick any areas you may be interested in assisting, supporting or becoming involved in, with Border Indoor Hockey.UmpireCoachManagerScore the gameSet up
Date
Name / Signature
Name & Validation of the applicant or guardian/parent (if applicant is 16 years or under) NAME: SIGNATURE: * Your application is subject to approval by Border Indoor Hockey committee
Health Statement
Please disclose any chronic or recurrent ailments, allergy or physical condition so that the correct information can be provided to health official in case of an emergency.

Verification

Please enter any two digits *Example: 12
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30

Pos	Club	W	L	PTS
1	White Tigers	14	0	42
2	Green Dragons	7	5	23
3	Pink Panthers	6	6	20
4	Blue Sharks	6	8	18
5	Orange Suns	3	9	11
6	Yellow Stars	2	10	8

Pos	Club	W	L	PTS
1	SupaTurf	10	2	32
2	Attack	8	4	26
3	Huon Distributors	8	6	24
4	Linfox	7	6	22
5	Masons Gardening	5	9	15
6	Hume	1	12	4

Pos	Club	W	L	PTS
1	Green Team	10	0	32
2	Quest	7	2	25
3	Blue	8	4	24
4	Beazley’s Meats	6	4	21
5	ReConnect	4	6	14
6	Stump	1	10	4
7	White Box Rise	1	11	3