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Details
Belong in Hockey - All Abilities Come & Try
All Abilities Come & Try Registration
Clyde Park, 564 Boundary St, Glenvale QLD 4350, Australia
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Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Registration Type*
Please select...
I am an Individual Participant / Parent
I am an Organisation / Carer
DOB*
Do you identify as having a hidden or physical disability?*
Please select...
Hidden/Invisible
Visible/Physical
Both
If comfortable, please feel free to share any information that you may feel is relevant:
Max 255 characters
Do you require accessible parking to attend?*
Please select...
Yes
No
Will you have a carer/support person attending with you?*
Please select...
Yes
No
Unsure
Have you had any experience participating in hockey/other ability sports previously?*
Please select...
Yes
No
Do you think there are any equipment adaptations that would assist you to feel at ease with your experience?*
Max 255 characters
Your Organisation (if applicable)
Please indicate how many people will be attending (you will be contacted via email regarding individual participant details)*
Please note
A
Booking fee
of
$32.24
applies for this event.
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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