Funsticks Registration Form

PLEASE NOTE PAYMENT IS NOW REQUIRED AT THE END OF THIS REGISTRATION FORM (WE NO LONGER OFFER THE PAY LATER OPTION).

IF YOU FILL IN THE FORM; BUT DO NOT COMPLETE PAYMENT - YOUR REGISTRATION FORM WILL NOT BE SENT.

YOU WILL RECEIVE A CONFIRMATION EMAIL IF YOUR REGISTRATION IS SUCCESSFUL. PLEASE MAKE SURE YOU CHECK YOUR SPAM/JUNK FOLDER. IF YOU DO NOT RECEIVE AN EMAIL, BUT THINK YOU HAVE PAID/REGISTERED, PLEASE CONTACT angelab@pillanspoint.school.nz

Child's first name *
Child's surname *
Room number *
Year level *
Child's D.O.B *

The child's date of birth is to give to Tauranga Hockey Association, type n/a if you don't want to share this information with them

Are you happy for your e-mail address and mobile number to be given to the team for contact purposes? *

Please make sure the contact email and number you put in this form are the ones you would like to receive team / game information on.

Are you happy for your e-mail address and mobile number to be given to Tauranga Hockey Association for registration purposes? *
Parent's name *
Mobile number *
E-mail address *
Did your child participate in Funsticks last year? *
Are you available to be the Funsticks Programme Facilitator/Coach? *
Being the Programme Facilitator/Coach means delivering the Funsticks programme (which is provided by Tauranga Hockey) to the group.
If your child has any medical or other reason which may affect their ability to play or follow coaches instructions please give us some information here which you would be happy for us to share with the coach/manager in confidence

NB: Please note a parent or caregiver will need to accompany your child at all times during the Funsticks programme.

 

 

IMPORTANT!
This form requires a payment of $60.00.
After submitting this form, you'll be redirected to our payment page to make the payment and complete the form submission.
Failure to complete the payment will mean the form ISN'T submitted to the School, and if this is a registration form, your child will NOT be registered.