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First Name/s: |
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Family Name: |
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Contract to Play Winter Hockey for the Auckland
University Hockey Club.
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I hereby state that I have the intention of playing winter hockey
for the Auckland University Hockey Club (AUHC) in 2008. I understand
that fees for the 2008 winter hockey season have been set at:
Full
time Student : Premier Grade Player $370
Full time Student : Championship Grade Player $340
Non-student : Premier Grade Player $410
Non-student : Championship Grade Player $380
These fees are payable in lump sum or by installments:
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• Fulltime
students – Premier Level
• Bulk Payment Lump Sum:
o $370 by 18/04/08
• Installments
o First Installment: $200 by 18/04/08
o Second Installment: $170 by 18/05/08
• Fulltime students – Championship Level
• Bulk Payment Lump Sum:
o $340 by 18/04/08
• Installments
o First Installment: $200 by 18/04/08
o Second Installment: $140 by 18/05/08
• Non-students – Premier Level
• Bulk Payment Lump Sum:
o $410 by 18/04/08
• Installments
o First Installment: $200 by 18/04/08
o Second Installment: $210 by 18/05/08
• Non-students – Championship Level
• Bulk Payment Lump Sum:
o $380 by 18/04/08
• Installments
o First Installment: $200 by 18/04/08
o Second Installment: $180 by 18/05/08 |
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I understand
that failure to pay the club membership fee by the due date will
occur a $20 late payment penalty for
each payment deadline missed. I also understand that the playing
shirt is the property of the Auckland University Hockey Club and
failure to return the AUHC shirt by the end of the 2008 season will
result in a $70 shirt replacement fee. I also understand that
failure to pay the required club fees will result in my debt to the
Auckland University Hockey Club being sent to a debt collection
agency of the club’s choice for immediate collection. |
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I understand
and agree to the aforementioned terms and conditions of playing
Winter Hockey for the Auckland University Hockey Club. |
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2008 Registration Form
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Address: |
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Suburb: |
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Date of Birth: |
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(dd/mm/yyyy) |
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Occupation: |
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University of Auckland ID
Number: |
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Or other institution id,
required for student discount e.g. AUT123423 |
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Email (Primary) |
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Email (University) |
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@ec.auckland.ac.nz |
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Phone: |
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home |
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mobile |
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Gender |
Male
Female |
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Preferred Grade to play |
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Preferred Positions |
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Previous Clubs/Schools |
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Type of Membership |
Premier Player Student |
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$370 |
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Championship Player
Student: |
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$340 |
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Premier Player
Non-Student: |
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$410 |
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Championship Player
Non-Student |
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$380 |
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Payment Options: |
Bulk Payment |
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Total by 18/04/08 |
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Installments |
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$200 by 18/04/08
(all membership types)
Balance by 18/05/08 |
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Support Areas: |
Coaching |
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Note:
All players are expected to umpire at least one of the lower teams'
games over the season |
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"Extra" Umpiring |
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Club Committee |
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Team Manager |
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CONSENT
UNDER THE PRIVACY ACT: Information you provide will be used by
the Auckland University Hockey Club (AUHC) for the purposes of
compiling team and club membership lists, AUHC general
administration, financial and risk management, statistical returns,
coaching, representative obligations, fundraising, and to comply
with Liquor Licensing Laws. Information provided by you may in turn
also be provided by AUHC to certain local and/or national sporting
regulation and administration bodies. Certain information provided
by you may be compiled and provided to official sponsors or
potential sponsors, however, AUHC will make reasonable endeavours to
ensure that information provided in this way is of a general,
statistical nature and does not individually identify you or your
personal information. You have the right to access personal
information we hold about you and request it to be corrected if
necessary. Any such requests must be made in writing. You must
ensure that all information we hold about you is accurate and up to
date. |
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I give consent to the
AUHC collecting and using my details. I acknowledge that I maintain
the rights to have access to this information and change it if
required. This consent is given in accordance with the Privacy Act
1993. |
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(by pressing
next your registration will be sent immediately) |
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