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Details
2027 Hockey Vic INDOOR State Team Nomination
Tue 28 Jul 2026 08:00 - Fri 23 Oct 2026 12:00
State Sport Centres, Parkville, 10 Brens Drive, Parkville, ViC
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Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Preferred Playing Position?*
Forward
Mid
Back
GoalKeeper
GENDER*
Please select...
Male
Female
D.O.B*
Have you read & agree to Hockey Victoria's Policies located on the description page?*
Yes
Athlete Mobile
Emergency Contact 1 NAME*
Emergency Contact 1 EMAIL*
Emergency Contact 1 MOBILE*
Emergency Contact 2 NAME
Emergency Contact 2 EMAIL
Emergency Contact 2 MOBILE
Select tickets
U14 BOYS Nomination
$50.00 ea
U14 BOYS Nomination
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U14 GIRLS Nomination
$50.00 ea
U14 GIRLS Nomination
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U16 BOYS Nomination
$50.00 ea
U16 BOYS Nomination
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U16 GIRLS Nomination
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U18 MENS Nomination
$50.00 ea
U18 MENS Nomination
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Open Mens
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U18 Womens Nomination
$50.00 ea
U18 Womens Nomination
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U21 Women's Nomination
$50.00 ea
U21 Women's Nomination
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U21 Men's Nomination
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Please note
All prices are inclusive of GST.
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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