MANX HOCKEY ASSOCIATION
	Player Registration Form Season 2007/08
Full Name
Address
Post Code
Contact Telephone
Date of Birth
Club Registering	Cronkbourne Bacchanalians
Type of Hockey
Mixed
Mens
Ladies
U18
If U16 please specify Region	North/South/East/West  (Delete as applicable)
"I consent to the Manx Hockey Association (MHA) holding and processing my personal data for the purposes of administering the MHA registration and Transfer system”
Player Signature
Club Secretary Signature
Parent/Guardian if U18
This Section only to be completed if player has transferred from another MHA member club
Previous Club
All outstanding debts paid	YES  / NO  (delete as applicable)
Amount Outstanding (if NO above)
Signed Previous Club Official *
* Secretary /Treasurer/Chairman
For MHA Registration Secretary Use Only
Unique Player Reference Number