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Details

Gold Coast Junior Blaze Clinic 12-16 Years - Tuesday 22 Sept 1pm-4pm

Tuesday 22 September 1:00pm-4:00pm

Gold Coast Hockey Centre, 123-165 Musgrave Ave, Labrador, Qld, 4215

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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

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 12-16 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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