Western Suburbs District Hockey Club
Player Registration – 2026 Season
Player details
Title (optional)
Given name *
Surname *
Preferred name (optional)
Date of birth *
Email *
Mobile *
Address *
Suburb *
State *
Postcode *
Playing details
Preferred team *
-- Select a team --
Women’s 1st Grade
Men’s SL4
Men’s SL7
Not sure / New player
Experience *
-- Select --
New
Returning
Previous club (optional)
Association (optional)
Grade played (optional)
National ID (optional)
Emergency contact
Full name *
Relationship (optional)
Email (optional)
Mobile *
I consent to Wests Hockey using this information for administration purposes. *
Submitting this form acts as your signature and date stamp.
Submit registration
