Gibraltar Hockey Bayside Sports Complex, Gibraltar, PO BOX 631 Chairman – Carl Ramagge
Team Registration Form; 2017-2018 Season
Form ref: GHTRF17
Team name and division is to be registered as of, and by Saturday 21st October, 2017 Team name: ______________________________________ Division: 1st
2nd
U16 Development
Registered by ________________________________ representing the above named team has transferred £___________ on the ___________ day of ____________________ in the year _________________________. Please provide the names and phone numbers of your two nominated team umpires for the 2017/18 season: 1) ____________________________________________ 2) ________________________________________ Please provide the names of club committee members: Club President: ______________________________ Club Secretary: ______________________________ Club: Treasurer: ______________________________ Please provide your email address and phone number if you are the nominated person who will be responsible for sending or receiving all correspondence on behalf of the above registered team. Email address: ________________________________________Phone number: ___________________________________ FOR GHA OFFICIAL USE ONLY Name of GH Representative:
Position in GH:
_____________________________________________
_____________________________________________
BACS to the sum of £100/£150/£200
Form ref: GHTRF17
Receipt Issued
Record BACS ID number ______________________
Recorded in treasurer’s log
Cheque referenced and signed
This completed Team Registration form, with the prior full payment transferred via BACS is to be handed to a Gibraltar Hockey Committee member no later Saturday 21st October, 2017. Please make payments online: BACS: S/C 60-83-14 A/C 06542001 The GH will not accept cash or cheque in the registration of teams or players TEAM REGISTRATION IS ONLY VALIDATED WHEN THE APPROPRIATE REGISTRATION FEE HAS BEEN RECIEVED -------------------------------------------------------------------------------------------------------------------------------THIS IS TO BE RETAINED BY THE REGISTERING TEAM REPRESENTATIVE AS RECEIPT OF PAYMENT TO GIBRALTAR HOCKEY Receipt On behalf of Gibraltar Hockey (GH), as an authorised member of the GH I hereby give
Form ref: GHTRF17
____________________________________________ representing team ______________________________________ a receipt for £100.00/£150.00/£200.00 as paid to the GH for team registration in the 2017-18 season. Name of GH representative: ___________________ Position in GH: ___________________ Date: ________ _________________________________ Payment – BACS to the sum of above www.gibraltarhockey.gi
__________________________ _________________ Receipt issued Recorded in accounts @gibraltarhockey