Floorball New Zealand U19 Men Development Session

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Complete this registration form to register for the U19 men development session. Players are invited to attend the whole weekend or individual sessions.

Eligibility criteria:
Players born 1.1.2002 – 27.4.2006.

Detail:
Friday 26th June 7-9pm ASB Sports Centre

Saturday 27th June 10-3pm Upper Hutt Expression

Sunday 28th June 10-12 and 1-3 ASB Sports Centre

Cost:
$50 for the weekend
$15 per session. A session is each 2 hour block. There are 5 sessions over the weekend.

Payment:
Payment is to be made prior to the weekend via internet banking.
Please make payment to Floorball NZ account: 38-9018-0178844-00
With the players surname and U19 Men as reference

Players First Name *

Players Surname *

Date of birth *

YYYY

Current Club playing for *

Mobile phone number *

Email Contact *

What sessions can you attend? *

I will be there the whole weekend

I will attend Friday 26th June 7pm-9pm

I will attend Saturday 27th June 10am-12 noon

I will attend Saturday 27th June 1.00pm-3.00pm

I will attend Sunday 28th June 10am - 12 noon

I will attend Sunday 28th June 1.00pm - 3.00pm

Required

Parent/Caregiver Approval: I fully support my son's involvement in the development weekend. *

Yes

Parents Name if nominee is under 18

Parents email if nominee is under 18

Submit

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