SUHA Registration SUHA registration First Name:*Surname:*Email* Invoice and club emails will be sent to this address.Phone (Home)Phone (Business)Phone (Mobile)Date of Birth* Date Format: DD slash MM slash YYYY GenderMF2016 Playing club*2016 Winter Team for your club* Why do you want to be part of the Southern United Hockey AcademyAre you a field player or goalie?*Field PlayerGoalieI am a part of the Hockey Victoria AcademyYesNoAddress (No./Street)*Address (Suburb)*Address (Postcode)*Parent 1Parent 1 Email Club emails will also be sent to this address, invoice will NOT be sent to this address.Parent 1 Phone #Parent 2 NameParent 2 Email Club emails will also be sent to this address, invoice will NOT be sent to this address.Parent 2 Phone #Agreements.Terms* I hereby agree to be bound by the Rules, By-Laws and Regulations of the Southern United Hockey Club, Inc as amended by the Committee of Management from time to time. Click here for full details Photos* I consent to Southern United Hockey Club and its agents recording images of me at club events, training and games for promotional purposes. I consent to these images being used in promotional material including on the world wide web or any other media. Playing with Southern United Hockey Club* If accepted into the Southern United Hockey Academy I will play for Southern United Hockey Club in 2017 Payment* If accepted to Southern United Hockey Academy I will pay the $240 ($100 if HV Academy)