Registration Form

PERSONAL DETAILS
Username * :
Password* :
Confirm Password* :
First Name* :
Last Name* :
Umpire Number* :
Gender* :
Email* :
Mobile (8 digits, no space)* :
Recent Photo :

CLUB DUTIES / APPOINTMENTS
Registered Club (Umpire Duties) :
Club (Playing) :
Team (Playing) :

PAYMENT DETAILS
Name Shown on Bank Account :
Umpiring Fee :
Bank Name :
Bank Account Number :
  • Limitation of Liability.

  • In no event will Hong Kong Hockey Association or any of its sections be liable for any damages, including without limitation direct or indirect, special, incidental, or consequential damages, losses or expenses arising in connection with this site or any linked site or use thereof or inability to use by any party, or in connection with any failure of performance, error, omission, interruption, defect, delay in operation or transmission, computer virus or line or system failure, even if citigroup, or representatives thereof, are advised of the possibility of such damages, losses or expenses.
 Terms and Conditions 		: (Please check to accept terms if Bank In / Bank Transfer is the preferred method)

OTHER DETAILS
Shirt Size :
Willing to Umpire Men's Matches :
Willing to Umpire Women's Matches :
Which side do you prefer to umpire :
 
  • By checking the box, I hereby declare that the details inputed in this form are complete and accurate.
  • I agree to abide by the current HKHA Rules and bye-laws of the HKHA - Umpires' Section (Bye-laws available for reference at www.hockey.org.hk).
  • I also understand and agree that neither the HKHA, nor the HKHAUS, nor their officials, shall be responsible for any incident, accident or injury sustained by me as a result of my participation in hockey as a spectator, player or official.
HKHAUS Umpires' Declaration*		 : (Please check to accept terms)