U17 Performance Centre Invitation Registration
Southern Counties Hockey Association

This form allows players to accept a nomination for assessment to a South-run Performance Centre at U17.

Once submitted this form is not updatable. If you have made an error or there are changes please submit a second one. When the forms are processed the final one will be the one that is used.

If the submission is successful you receive a thank you message on the screen. There is no automatic email to confirm the entry.

This form is best completed using Windows. It has been known to encounter errors which prevent the form from being submitted using other environments

Please use the form of the forename that is usually used
format: dd/mm/yy
When you last attended an AC, which one did you attend?
If you want to be considered for PC but are unavailable on the Assessment Day, please accept the invitation. If you are declining the offer then the remaining questions other than the permissions statement and security Captcha at the bottom can be omitted.

Please enter details of the players parents. Details for parent 1 are required, parent 2 is optional.

We will be requiring umpires for the selection day. Please mark any parent who will be accompanying the child who is able to assist.

For those at boarding school we are able to allocate the places based on either their home or school address. It may be possible to use an alternative address, but please complete this form and contact Tony separately.

There are ten sessions due on Monday evenings in the next cycle. Consequently, we need to know the following details for the school which the player is likely to attending from September.

First half of postcode is all that is needed, the town if postcode is not known.
Are there any medical issues that we need to be aware of before the session?
Southern Counties Hockey Association is collecting this information in order to run the Performance Assessment Day. It will be shared with the administrator running the assessment centre in case of emergency on the day and retained for 12 months.
Please enter the characters in black. Ignore the grey ones.
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