Event registration

Details

Narrogin 2026 - REGISTER

Fri 17 Jul 2026 13:00 - Sun 19 Jul 2026 14:00

Narrogin Turf, Clayton Road, Narrogin

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

2nd Guardian Name

1st Player Name*

1st Player Group*

2nd Player Name

2nd Player Group

3rd Player Name

3rd Player Group

4th Player Name

4th Player Group

Non-player / Child U10

Volunteering Assistance

Please NAME here who can umpire/coach/manager* Max 255 characters

Accommodation required*

Do you agree to comply with the Code of Conduct*

Yes

How many staying 4/5/6 Orana

How many staying at the Gym

Dietary/Allergy information

Anything else we need to know Max 255 characters

Select registrations

Narrogin Player + Accom.

$150.00 ea

Narrogin Player - NO Accom.

$90.00 ea

Non Player + Accom.

$120.00 ea

Non-player - NO Accom.

$60.00 ea

Sibling Umpire

FREE

Please note

All prices are inclusive of GST.

Event Waiver

Bank Account Details

Modernians Hockey Club

BSB: 633-000 Account Number: 1426 13249

ABN 56 849 946 307

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.*

We Support

MODS OGM Hockey Club