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Details

2025 Men's Masters NSW Medical Team Nominations

Fri 26 Sep 2025 9:00AM — Sun 12 Oct 2025 11:45PM

Newcastle International Hockey Centre, Turton Road, Broadmeadow

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Date Of Birth (DD/MM/YYYY)*

Association currently registered with*

Have you worked with a Hockey NSW team before? If yes, which champs and year? Eg NSW Men's Masters 2024* Max. 255 characters

Have you worked with another state or Australian team before? If yes, please list. Eg ACT Women's Masters 2023ear? If yes, which team?* Max. 255 characters

Are you available for the entire event (at this stage dates are Sep 25-Oct 11)?If yes, which team representation - Year & age group)* Max. 255 characters

Do you have any injury or medical condition that may affect your performance?*

Please provide details of a referee we can contact to vouch for you (name, mobile, email)* Max. 255 characters

Have you made leave arrangement for Newcastle?*

Any Additional Information you would like NSW Men's Masters to know? Max. 255 characters

Please provide the name and contact details of someone who can act as a referee for this nominationls*

Please state your current medical accreditation/registration (eg Level 1 Sports Trainer, Physiotherapist)* Max. 255 characters

Please note

All prices are inclusive of GST.

Event Waiver

I hereby nominate for the NSW medical team for the Australian Men’s Masters Hockey Championships this year. I agree to abide by Hockey NSW Men’s Masters policies and procedures. I understand that I am expected to be available for the duration of the National Championships.

The following terms and condition must be read carefully. In considerations of your, or the person on whose behalf you are acting's agree to the following terms and conditions;

Hockey NSW Membership Terms and Conditions

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*