Are you attending this event?

Yes No Maybe

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Age*

Which summer hockey activity are you interested in?*

Grass hockey 10+

friday turf 15+

both

Are you currently a kwinana tigers member?*

Hockey experience*

Would you be interested in helping with our grass competition

Umpiring

general help

not at this stage

Which day(s) would you be available for Summer Grass Hockey?

Monday evening

tuesday evening

Wednesday evening

Thursday evening

Anything else you would like us to know?

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