Event registration

Details

2026 BHA Representative Teams - Head Coach | Assistant Coach | Manager | Selector EOI

Fri 31 Oct 2025 11:59PM - Tue 30 Jun 2026 11:59PM

Online

Google · Outlook · iCal

Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Personal Information

First Name*

Last Name*

Date of Birth*

Email Address*

Phone Number*

Blue Card Number*

Blue Card Expiry*

First Preference

Age Group 1*

Position 1*

Second Preference

Age Group 2

Position 2

Third Preference

Age Group 3

Position 3

Background

Relevant Experience* Max 255 characters

Relevant Qualifications/Accreditations* Max 255 characters

Do you have a son in your nominated age group(s)?*

Club Affiliated with in 2025*

Additional Comments Max 255 characters

Terms Of Registration

All players and/or officials registering or nominating for an event must be registered & financial with a BHA affiliated Club and registered & financial with the Brisbane Hockey Association and with Hockey QLD through revSport.

# I acknowledge that I have read and understood the following documents: HA Code of Conduct and Competition Rules, Section 11: Representative Program.

# I am available to attend the relevant State Championships / Coulter Shield and scheduled training / trial sessions I am applying for.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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