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Booking Form

Gold Cup Street Hockey 

Book your child (or yourself) into the Gold Cup Street Hockey Competition here.
It's as easy as pre-register your name and/or team here and pay on the day.
Bookings must be received more than 24 hours prior to the competition.
Helmet, knee pads, elbow pads and gloves are recommended.
Best of 3 games plays in the final for the Gold Cup.
U16, U14 & U12 age divisions only.
Cost is $10 per player.
Childs Name(s)
Team Name (if known)
Childs DOB (dd/mm/yy)
School
Health ExcellentGoodFair Poor
Program Name   Gold Cup Street Hockey Competition
Preferred Location   Fun Factory Skate Centre, cnr Toorak Rd & Chapel St , South Yarra
Preferred Program Date(s)   Tuesday 8 May 2001, 5:30pm-7:30pm


Parents Name
Phone #1
Phone #2.
Email
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