Online Registration

Complete the form below if you're a) A New Member, b) Returning to the Club after a Season or more out or c) Your Contact/Address Details have changed. Details collected on this page will not be used for any purpose other than club business and registering you as a player with the SHU. Inverleith Hockey Club will not pass this information onto any other parties.

Personal Details

Your Name, particulars and contact details.

Name
Date of Birth
Address
Postcode
Home Phone
Work Phone
Mobile Phone
Email Address

Medical Information

It would be helpful if you would provide details of any medical conditions or allergies you suffer from in case of emergencies.

Asthma	Yes No
Diabetes	Yes No
Epilepsy	Yes No
Others - Including Medical Details
Known allergies or reaction symptoms

Complete the following information if you are Under 18:

Inverleith Hockey Club require Parental/Guardian information for any player under the age of 18.

Name
Home Phone
Work Phone
Mobile Phone
Email Address