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Details
Expression of Interest for all Rebels Junior teams
Fri 04 Sep 2026 07:30 - Wed 27 Jan 2027 18:00
Peel Hockey Stadium, Fuchsia Place, Halls Head
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Are you attending this event?
Yes
No
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Select team/s you are interested in playing in*
Boys Y7/8
Girls Y7/8
Boys Y9/10
Girls Y9/10
Boys Y11/12
Girls Y11/12.
Are you interested in playing GK?*
Please select...
Yes
No
I can play GK and on field
Rebels play home games in Mandurah and away games throughout Perth. Are you able to commit to all games?*
Please select...
Yes
No
Unsure
Would you also play in our local competition*
Please select...
Yes
No
Senior players do you have the capacity to take on a Coaching or Team Manager role?*
Please select...
Yes
No
Juniors are you willing to play up one age group if this would mean a team could be fielded?
Please select...
Yes
No
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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