Sudbury Hockey Club

Men’s Section
Data Collection Form 2009

Please complete all fields marked with an asterisk (*) in BLOCK CAPITALS

FULL NAME*

GENDER* M/F

ADDRESS*

POSTCODE*

HOME NO* WORK NO

MOBLIE NO*

DATE OF / /
BIRTH*

EMAIL
ADDRESS*

ARE YOU SIGNED UP TO THE SHC WEBSITE?* YES / NO

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Database Updated? Y / N