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Be A 2025 Blaze Player For The Day!

Fri 10 Oct 2025 17:00 — Sun 16 Nov 2025 15:30
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State Hockey Centre, 400-420 Lytton Road, Colmslie

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First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Name of Child*

Age of Child*

Gender of Child (for team allocation)*

Name of Parent / Guardian*

Email*

Best contact phone number for parent/guardian (for game day)*

Why should you be a Blaze for a day? (Max 20 words)* Max 255 characters

Please tick dates you are available*

Friday 10th October

Friday 31st October

Sunday 16th November

Event Waiver

Hockey Queensland Member Registration Terms & Conditions

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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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