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Olympic Talent Search 2009 - Application Form


Venue & Date:


Details of Player
First Name:
Surname:
Date of Birth (DD/MM/YYYY):
Address:

Email Address:
Mobile Phone Number:
Home Phone Number:

Person/Coach who is nominating player:
Name:
Position:

Player Information
What other sports do they play and to what level?: (This information is essential) Remember we are looking for non hockey players too.

Any medical conditions and treatment (eg asthma – salbutomol inhaler):

How long (years/months) has the player played hockey and at what level(i.e club/school)? Please name club/schools:


Please register your details by clicking submit. You will be then taken to the IHA online shop to create an account & complete your payment. Please note that your place will not be confirmed until payment has been received.