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Details

Ipswich Junior Blaze 7-16 Years - Thursday 9 July 10am-1pm

Thursday 9 July 10am-1pm

Ipswich Hockey Association, 65 Briggs Road Raceview, Ipswich Qld 4305

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Attendee Information

First Name*

Surname*

Date of Birth*

Gender*

Male

Female

Other

Emergency Contact

Parent/Guardian Full Name*

Parent/Guardian Mobile Number*

Parent/Guardian Email*

Medical Conditions (If known)*

I give permission for my child to be photographed/filmed for promotional purposes:*

Yes

Shirt Size

Please note

All prices are inclusive of GST.
A Registration Fee of $70.00 applies for this event.

Event Waiver

Hockey Queensland Member Registration Terms & Conditions

This clinic is for players aged 7-16 years at 31 December 2026.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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