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Maryborough Indoor Hockey
Event registration
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Details
2027 MDHA Representative Teams
If elected, positions will be for the 2027 Calendar Year.
Maryborough Hockey Complex, 165 Woodstock St Maryborough QLD 4650
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Are you attending this event?
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Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Club*
Please select...
Brothers
Colts
Granville
Tinana
Uniteds
Wallaroos
Hervey Bay
NA
Do you have a Blue Card?*
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Provide Blue Card Number and Expiry Date*
Senior Men 30 April - 3 May 2027 Brisbane
Selector
Coach
Manager
Senior Women 30 April - 3 May 2027 Brisbane
Selector
Coach
Manager
Masters Men 34+ 45+ 55+ 30 April - 3 May 2027 Toowoomba
Selector
Coach
Manager
Umpire
Tech Official
Masters Men 60+ 11-13 June 2027 Ipswich
Selector
Coach
Manager
Umpire
Tech Official
Masters Women 11-13 June 2027 Toowoomba
Selector
Coach No 1
Coach No 2
Manager No 1
Manager No 2
Umpire (2 required)
Tech Official (2 required)
Under 12 Boys - Zone/Coulter Shield - Date/Venue TBA
Selector
Coach
Manager
Umpire
Under 12 Girls - Zone/Southern Cross - Date/Venue TBA
Selector
Coach
Manager
Umpire
Event Waiver
By nominating on line:
I am willing to nominate for the selected position
I agree to fulfil the duties of the role to which I am elected
I agree to abide by the MDHA Code of Conduct when acting on behalf of the Association should I be elected.
I will provide my Blue Card number to the MDHA upon appointment or apply for one if required.
I confirm that I have read the above Event Waiver in its entirety.*
I agree to the Event Waiver.*
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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