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PHI 2026 INDOOR Junior Rep Player Nomination - U16's

Trial Dates are to be announced.

Parkes Hockey Complex, Baker St, Parkes, Nsw, 2870

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First name*

Last name*

Phone number*

Email address*

Address*

Please nominate which Field Team you would like to represent PHI*

U16 Boys 13-15 Nov @ Orange

U16 Girls 14-16 Nov@ Orange

Parent Name?*

Parent/Alternate email address?*

Parent/Alternate mobile number*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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