2025 Fuel to Go & Play Club Championships Nomination Form

Club/Association Name*

Club/Association Contact Liaison*

Team Manager travelling with team(s)

Club/Association Contact Email*

Email address for Contact Liaison

Club/Association Contact Mobile Number*

Mobile number for Contact Liaison

How many J 11/12 Boys teams are you nominating?*

How many J 11/12 Girls teams are you nominating?*

How many J 11/12 Mixed teams are you nominating?

How many J 9/10 Boys teams are you nominating?*

How many J 9/10 Girls teams are you nominating?*

How many J 7/8 Boys teams are you nominating?*

How many J 7/8 Girls teams are you nominating?*

Would you like to opt in for Hockey WA to cover your umpiring allocations?