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I............................................................................................................................. |
| (Name, Please Print) Address ................................................................................................................... |
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Age ................................. (If under 18 years old) being a bona-fide member of ................................................................. Hockey Club and fully qualified according to the rules of the B.S.F., wish
to take part in the I hereby agree that the organisers shall not be liable for any
accident, injury, loss Signed*
..........................................................(Player's
Signature) Date ................... Last club played for ..................................................................... Year ................... We certify that the above named person is a bona-fide member of our club. Signature of Club Secretary ....................................................................................... Signature of Club Captain ........................................................................................... ............................................................................ REGISTRATION RECEIPT Player's Signature .................................................................................................... Eligible to play for ......................................................................... Date ................... Date Registered ........................................................................ Match Secretary's Signature ...................................................................................... |