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Super Saturday

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Details

2026 U16 Girls Queensland State Championships

Sun 20 Sept 2026 08:00 - Wed 23 Sept 2026 17:00

Rockhampton Hockey Fields

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Date of Birth*

Preferred playing position

Striker

Midfield

Defence

Goalkeeper

Secondary playing position

Striker

Midfield

Defence

Goalkeeper

Emergency Contact*

Name*

Phone*

Email*

Relationship to nominee*

Any Medical Issues?*

Please select all that apply

Allergies (provide details below)

Asthma

Epilepsy

Other (provide details below)

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Event Waiver

By accepting this waiver, you agree to the following conditions. You must:

make yourself available for all selection trials
advise coach/manager if unable to attend trials/trainings
advise coach/manager of any illness/injury concerns

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.*

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