Team Name:
Grade Playing: Mixed Junior 6s Mixed Senior 6s Team Colours: Top: Shorts: Socks:
Contact Person: Name: Mob:
Email:
Team Members Grade Played
2018
Rep Level Played 2018
Hockey QLD Registered Yes / No
GAME FEES for each format:
•
Junior 6s Game fees for 5 weeks: $250 per team, $50 per game, or $6.50 per player per game
•
Mixed Snr 6s Game Fees for 5 weeks: $400 per team, $80 per game, or $10 per player per game
All game fees must be paid prior to taking the field
Please note that a one-off Team Registration fee must be paid by the first game
•
Juniors 6s - $50.00 Team Rego
•
Seniors 6s - $50.00 Team Rego
Fees are to be paid into the Ipswich Hockey Association Bank Account using your team name as the reference and (SH) this will determine you are a Summer Hockey team.
Bank: Bendigo Bank
Account Name: Ipswich Hockey Association Inc.
BSB: 633000
Account #: 138616370
Please send an email to [email protected] to notify of payment including your reference.
