Membership Registration Form 2018-2019 - Seniors

Below is the registration form for Winchester Hockey Club. Please complete this form in as much detail as possible.

Member Personal Details

Male Female

Medical and Consent

Member Information

What is your occupation - if a student which Shool/College/University
Do you have any skills that would help the club
Would you be interested in being a coach, umpire, team manager or club official
Please state any existing coaching / umpiring qualification and level
Hockey experience - previous clubs or representative teams.


I agree to abide by the club rules & codes of practice, which are freely available from the club’s website. I note that the use of a mouth guard is strongly recommended for all players, shin pads essential. I agree to the above details being held on computer to assist with club administration, and email address to be used for the communication of club news and information.

Declaration: I consider myself to be physically fit and capable of full participation and agree to notify the club of any changes to the medical information provided.

I am aware that there mey be times that potographs and/or footage may be taken during matches and training sessions by approved agents and / or Ofiicers of the club. Such images shall only be used for publicity/training purposes in accordance with the Club Policy and I give consent to such photos/images. I hereby grant approved agents and Officers of the Club the right to use images resulting from the photo/videos. This includes any reproductions or adaptions of the images for all general purposes ie local newspapers, local magazines, other promotional articles (inc flyers) and the Club's website.

Data - GDPR

I confirm that I have read the Data Privacy Document on the club website WHC Data Privacy Document and thereby give my consent to the data being held about me from the club registration process.

Ethnicity & Disability – England Hockey

Whilst it is not compulsory for the following section to be completed, the paragraph below explains why this personal information is considered to be important.

Sport can and does play a major role in promoting the inclusion of all groups in society. However, inequalities have existed within sport particularly in relation to gender, race and disability. Sport England and England Hockey are committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them. By monitoring the profile of people in sports clubs, national governing bodies of sport and Sport England can identify any issues relating to under representation of different groups and can develop strategies to ensure that all people have the opportunity in the future to develop and progress in sport.

England Hockey requests this data from clubs as part of the annual affiliation process and completing this data accurately enables the club to give an accurate picture to England Hockey on our membership.