Details

HQ High Performance Coach/Athlete Assistance Request Form

Date TBA

Various Associations

Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Association Name*

Date (1st preference)*

Date (2nd preference)

Duration of attendance* Max. 255 characters

What can HQ assist you with?* Max. 255 characters

What is the target age group?*

10-14

15-18

Payment offered for :-*

Mileage

Attendance

Do you require HQ Athlete and/or Coach*

HQ Athlete

HQ Coach

Both

Is this for Promotional Event or Coaching Clinic* Max. 255 characters

Any other information you wish to provide Max. 255 characters

Event Waiver

National Registration Terms for Events 2024

Thank you for registering your association request for HQ HP Coach/Athlete Assistance. We will endevour to accommodate your request details in a timely manner. In the event some, or all, of your requests cannot be met by your desired date we will communicate with your association individually to work together to arrange a suitable solution.

Thank you

Hockey Qld team

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.*