Join a Holiday Course

Use the form below to send us an email or call on 07714 798268

Player Full Name *

Email address *

Phone number *

Date of Birth *

Course You'd Like to Attend

Marden Hockey Club - 22nd December

Marden Hockey Club - 23rd December

Any Medical Conditions and/or Existing Injuries? *

Emergency Contact Name

Emergency Contact Number *

Alternate Emergency Contact Number *

Alternate Emergency Contact Name

Photograph Consent *

Yes

Please confirm you are happy for qualified staff to undertake any required initial medical treatment *

Yes

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