What position do you hold within your club?

Which Club are you affiliated to?

What position do you hold within your team?

Premier 1 Team Entry
Please Select

Premier Reserve Team Entry

Premier 2 Team Entry

Enter a 2nd team in the Premier 2 Grade

Please select Competition HV/ICC
Premier 2 Grade ONLY

Premier 3 Team Entry

HV Presidents Team Entry
Please note age restriction is 35+

Enter a 2nd team in the Presidents Grade

HV Major B Women Team Entry

Enter a 2nd team in the MBW

U19 Grade Team Entry
Please note age restriction - Must be 14 years of age

U17 Grade Team Entry

Enter a 2nd team in the U17 Grade

Please select your grade

Are you a member of a senior team & a loan player to a youth team for another club?
If yes, please ensure you have completed the loan player form.

Please select the club in which you are a loan player to.

Have you transferred from another club this season

Please select team you are applying for

Please select the position within the team that you are applying for

Please advise your coaching accreditations.

Have you coached representative teams in the past?

Have you coached national teams in the past?

Please select which HCU P2 Team you are a member of - HCU Blue/White

Please select which Totara Park Team you are a member of- Blue/Gold

Playing Position First Option

Playing Position Second Option

Please select your team Stokes Valley or Beez