NZ NATIONAL S S INLINE HOCKEY CHAMPIONSHIPS 2016 ENTRY
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National NZ Secondary School Championships Inline Hockey Tournament Entry Form
NZ National S S Inline Hockey Championships 2016
Entry Form
Name of School:
C
ontact
/Sports Co-ordinator
Signature
C
ell
phone: Phone
E
-mail:
(please use block letters):
The person signing this form certifies that prior to any team or player participating in the NZ National Secondary School Championships the following rules have been complied with:
All players entered on this form will register with the NZIHA prior to the tournament starting.
All players entered on this form are eligible to play for the secondary school for which they registering.
Entries Close: April 17th 2016
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GRADE(CIRCLE) |
A MAJOR GRADE |
A MINOR GRADE |
B GRADE |
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Player First Name, Last Name |
Player Age |
Current NZIHA Club and grade (if applicable) |
Player jersey number |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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Goalie |
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Goalie |
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Coach |
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Manager |
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Official |
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Official |
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Team Fee |
$285 |
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P
rincipal’s
signature_____________________
Please pay entry fee to Nelson Whalers Inline Hockey Club
03 0703 0604425 00
Ref NZSS (club name)
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Tags: championships 2016, school championships, entry, inline, hockey, national, championships
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