Purchase Membership for Ashton Hockey Club

Student / 5th & 6th Year School Goer

€156.00

Fill in your details and pay

Full playing membership

* Player/member first name

* Player/member last name

* Email

* Phone number - for team/club communications

* GenderMaleFemale

* D.O.B

Is this person a playing member?

* Emergency contact name

* Emergency contact phone number

* Details of any allergies or medical conditions.

* Address Line 1

Address Line 2

* City/Town

County

* Country

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