Shc Data Collection Form 2009

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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

...................................................................................................................................................... Database Updated? Y / N

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