CBH Group Men's Country Championships 2025 - Hockey Western Australia

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CBH Group Mens Country Championships 2025

Information

Association Name*

Accommodation Details

Accommodation Name*

Accommodation Address*

Association Contact Liaison Details

Association Contact Liaison Name*

Point of contact once teams are in Perth

Association Contact Liaison Email Address*

Association Contact Liaison Mobile Number*

Uniform Information

Team Colours

Please upload the uniform image file (preferably the graphic from which the uniforms get printed)

Choose file...

Max 5MB

Team Nomination Form

Division 1 - Men's Championship

Division 1 may only nominate one team.

Division 2 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Division 3 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Division 4 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Division 5 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Masters Division 1 - Men's Championship

Division 1 may only nominate one team.

Masters Division 2 - Men's Championship

Please select the number of teams you wish to nominate in this division.

Umpire Nomination

Umpire 1 Name

Umpire 1 Email Address

Umpire 1 Mobile Number

Umpire 2 Name

Umpire 2 Email Address

Umpire 2 Mobile Number

Do you have more Umpires to list?

Fixture Request Form

Does your Association require to start late on Friday 20th June?

Other Fixture Requests:

Completion