TEAM NAME

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CLUB NAME (if applicable)

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TEAM ORGANISER's NAME

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TEAM ORGANISERS's EMAIL ADDRESS

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TEAM ORGANISERS's PHONE NUMBER (including international dialing code)

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We will be entering:

Men's XI for Saturday and Sunday (Deposit £240 -ie 4 players) - minimum of 12 players/ team

Ladies XI for Saturday and Sunday (Deposit £240 - ie 4 players) - minimum of 12 players/ team

Mixed XI for Saturday and Sunday (Deposit £240 - ie 4 players) - minimum of 12 players/ team

Mixed VII for Saturday and Sunday (Deposit £240 - ie 4 players) - minimum of 9 players/ team

We will be staying for the Mixed Tournament on Monday

(No deposit necessary)

 Please make cheques payable to Old Loughtonians Hockey Club and send them with this form to OLHC, Luxborough Lane, Chigwell, Essex IG7 5AB