Would you like to play hockey @ Southern United

2019 - Registration of interest

Are you or your child interested in playing hockey in 2019. let us know via the form and we will send information through to you.

Today's Date

Day
Month
Year
First Name:*
Surname:*
Email*
Phone (Mobile)
Year of birth
Please enter a number from 1950 to 2018.
Gender*
- M
- F
Address (Suburb)*
Comments/Questions
Section
Category
- Men
- Womens
- Masters
- Juniors U12 - U18
- Juniors U10
- Juniors U8