Upminster Hockey Club - Member Record Request

Please fill in the form below to register your interest in joining Upminster Hockey Club. Your member record will then be created on our system.

Upminster Hockey Club use Coacha to manage and administer our club admin. All of your information is securely locked up in the cloud. Please try to ensure all information is correct and accurately entered.

Student / Athlete / Member Information

DOB

NOTE: Please enter parent or NOK email address for this minor in the NOK/Emergency contact section below


Next of Kin / Parent / Guardian Information


Medical Information

Any injuries, allergies, disabilities, illnesses or relevant health concerns your coaches should know about?


I confirm that the above information is correct to the best of my knowledge and that I hereby provided agreement for this information to be stored in Coacha's databases.

For Coacha terms and conditions click here.

For Upminster Hockey Club's waiver forms and other club information please download/view the documents below:

Upminster Hockey Club Ltd. Terms of Membership.pdf

Data Protection & Use

GDPR requires you/your child to opt in for the above club to use your data. You must update your preferences on the following options.
(Note: without the first two options ticked, you (or your child) cannot be added to Coacha).