Hockey
on 16th September 2006 |
Naaz Shah, Olympian and
former captain of the Indian Women’s Hockey Team is offering a Strikers
clinic for the age group of 9yrs-13yrs at Gallagher Hockey Centre from
9am-12 noon. As places are limited payment is required at time of registration. COST $40 per person. PLACES ARE LIMITED |
| Registration Details Name............................................................................................................................................. Year at School ................................................ Rep / Non-rep (circle) Address.......................................................................................................................................... Phone............................................................... Email............................................................ Parent/Caregiver’s Emergency Contact Phone Number.............................................................. Medical conditions and medications.............................................................................................. COST $40/- Amount Enclosed $.............................. I give permission for ..................................................................... to participate in the Hockey programme. .................................................................... Parent/Caregiver’s signature) Please pay by cheque only, make cheques out to “N Shah” and send completed registration form with payment to N.Shah, 65 B Wellington Street, Hamilton East or contact me on naazshah@hotmail.com |