form test

Further changes to form v 1.4 7 Jan 2020 to try and improve format – second try

    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 1987 that's preferable to scrolling through the calendar anyway. It's the frikkin US format on some browsers, sorry I can't fix that. (Rob A)

    Age division

    Please note players who are 34 in 2021 are now eligible to nominate for the over 35 team.

    Player and or official?

    If Player enter your valid 2021 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 30 April 2021

    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

    ACT Masters Hockey Privacy policy