NHC Trials 2022

Register

• Ticket Name

  First Name

  Surname*

  Email

  Mobile Number*

  Date of Birth*

  Ethnic Group European Maori Pacific Asian MELAA (Middle Easter/Latin American/African) Other Ethnicity

  What is your position? (can select multiple) Defender midfield striker GK

  Player Gender* Male Female Prefer Not To Say

  What Club do you play for?*

  * I consent to NHHA using images of me or my child (if under 18-yrs of age) for promotional purposes.

  * I Agree to the Terms & Conditions of the NHHA NHHA Rep Player Agreement

  * I Agree to the Terms & Conditions of the NHHA Covid-19 Player Policy