Please register your details by completing all the applicable fields below . [ By completing and submitting this form I agree that the information provided may be passed to the Canterbury and New Zealand Hockey Associations who in turn may pass it to other sporting agencies. Additionally they may use this information in regard to official sponsors for statistical purposes, distibution of promotional material, representative obligations, news media coverage/exposure, fundraising, the annual report, the Incorporated Societies, to comply with Liquor Licencing Laws, and general office management. I acknowledge the members rights to have access to this information and that this is given in accordance with the Privacy Act 1993. I also agree to abide by the constitution and laws of the Sydenham Hockey Club Inc., a copy of which will be provided on request or can be viewed on this site, www.sydenhamhockey.co.nz ] Name : First  then   Last     No & Street                                       Town /city                        select CHRISTCHURCH RANGIORA KAIAPOI <\SELECT> or Other               Zip code                                    Email Address                  Phone                            Mobile                          Playing Status        select primary student secondary student tertiary student open grade <\SELECT> Have you played for another club in the last two years.     no yes <\SELECT>  If yes, you will need to send us a clearance to P.O.Box 7246, Sydenham. Ethnic Background ( required by CHA)    select maori indian european other <\SELECT>   Details if other    If you are under 18, please also complete these questions. Parent or Guardian Name  Aternative Contact Number   Date of Birth   Any health issues the club should be aware of