Name club:

Place club:

Name team:

Ladies/Men:

Level of hockey:

Number of players (incl. goalkeeper):

First name:

Surname:

Address:

Postal code:

City:

Mobile:

Telephone:

E-mail address:

Note that the number of participating teams is limited - registrations will be dealt with in order of arrival. As soon as we have received your registration, a preliminary booking is made. This becomes final after your full payment has been received. If the tournament fee is not received within reasonable time -3 weeks- after registration, we feel free to accept the next team in line.
You can register your team by filling in the registration form and submitting the payment to:
account nr. 59.07.11.954 t.n.v. K.J.B. Uildriks in Heerenveen, please mention your team.
IBAN-code: NL96ABNA0590711954 BIC-code: ABNANL2A
Please let us know well in advance if you have any dietery restrictions.