U18 Trials 2022

Register

• Ticket Name

  Parent First Name

  Parent Surname*

  Email

  Mobile Number*

  Player First Name*

  Player Last Name*

  Date of Birth*

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

  What is your position? Field Player GK

  School Year* Year 12 Year 13 Out Of School

  Player Gender* Male Female Prefer Not To Say

  What School Does the player Attend?

  * 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

  * If I am eligible to be vaccinated (12-years or older), I accept that I may be required to produce evidence of my Covid-19 vaccination status. And I acknowledge that failure to produce evidence of my vaccination may void any potential refund for this activity.