Championships Nomination Form

2020 Hockey Australia Men’s Masters Championships Nomination Form

The 2020 Hockey Australia Men’s Masters Championships will be held on the Gold Coast from:
27th June to 11th July (45+ to 70+ age groups) (currently postponed) and
3rd to 11th October (34+ and 40+ age groups).

Please note these dates have been changed and above is the new dates

Because of the postponement, nominations will remain open for a short period (closure date TBA), but please do it now.

Upon submission of the electronic nomination below you will considered for selection in your relevant age group, after agreeing to pay those fees levied by the ACT Masters Hockey Association (ACTMHA).

If you are not already a member of the ACTMHA you also need to apply for membership. A link to Revsport will be sent out towards the end of January, to allow for new members to join ACT Masters Hockey and for existing members to renew their membership for 2020.

Player Costs for Gold Coast

The Team Player Levy has not yet been set and is likely to be approx $450, depending on the number of teams. The levy covers Team Entry, Physios and their materials, B & F trophies and gifts as well as the hospitality tent drinks.

Transport to and from the Gold Coast is the responsibility of each player.

Gender
MaleFemale

With the date picker below, in some web browsers you will get a neat calendar to choose from, others will only allow you to click on day/month/year and change them as required. For those of us born decades before 1986 that's preferable to scrolling through the calendar anyway.

Age division

Please note players who are 34 in 2020 are now eligible to nominate for the over 35 team.

Player and or official?

If Player enter your valid 2020 Revsport number (If you don't know please leave blank):

Do you want ACT Masters to arrange accommodation?
YesNo

Do you have a ACT nationals playing shirt?
YesNo

Shirt(s) number(s) - (If you don't know please leave blank)

Address (please don't use commas)



A deposit of $250.00 is required to secure your place in the Team and is due by 29 Feb 2020.

Payment method preferred is Electronic Funds Transfer details are:

BSB : 801 009
Account number: 10001 3909
Account Name: ACT Masters Hockey Association
Reference: Your Surname/Age division (for example Charlesworth65)

It is vital to put your name and team as a reference:

If you have no EFT facility you may post a cheque to payable ACT Masters Hockey Association.

The Postal address is:
The Treasurer,
PO Box 986 Queanbeyan NSW 2620

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