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Details
2026 Representative Player Nomination
Thu 08 Jan 2026 19:00 - Fri 03 Jul 2026 23:45
Cairns Hockey Juniors, 365 Lake St, Cairns North QLD 4870
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Are you attending this event?
Yes
No
Maybe
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Nominating for*
Open Men
Open Women
U18 Men
U18 Women
U16 Boys
U16 Girls
U14 Boys
U14 Girls
U12 Boys
U12 Girls
Masters Men Trialling
Masters Men nominating but not trialling (happy to play anywhere)
Masters Women Trialling
Masters Women nominating but not trialling (happy to play anywhere)
DOB*
Primary Playing Position(s)*
Please select...
Goalkeeper
Defender
Midfielder
Striker
Secondary Playing Position(s)
Goalkeeper
Defender
Midfielder
Striker
Are you aware of your correct age division for State Championships, along with the date and location of the competition?*
Yes
No
Are you aware of 2026 state championships will most likely be self travel and self accommodation?*
Yes
No
Have you read the Cairns Hockey Player Representative Document? This can also be found back on the Nomination Web Page. This will need to be signed and returned to Cairns Hockey on your relevant trial day.*
Yes
No
Any Additional Information you would like to add?
Max 255 characters
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
Submit
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