Full Playing Membership

Username *
This is the email address you first entered and cannot be changed.
Email *
This can be changed but your Username remains as the first email address entered.
Password *
A mix of leTTers, n7M+B3rs! and Th!mbl#s
Membership Level *
Full Playing
Player ID
Leave blank - we shall add this (format XX99). Use this prefixed with TOPUP (as in "TOPUPXX99") as the bank reference in payments you make to us.

First Name known as *
Name you want us to use socially and in emails (e.g. Mike).
Formal First Name *
The same as Known As or your official first name (e.g. Michael)
Last Name *
Last Name
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Mobile Phone *
If no mobile use home phone number.
Contact me *
Yes
No
We need YES to contact you about playing events and Thistles participation (you will not be inundated). NO will limit contact to formal matters only (e.g. AGM).

Date of Birth *
Select from the calendar or enter eight digits dd/mm/yyyy.
Playing Section *
Associate your membership with one of these two playing section: Ladies/Female or Men/Male. (Not Specified means receiving double information.)
Main Playing Role *
Field Player
Goal Keeper
Umpire
None of Above
Do you primarily want to be known as a field player, GK or umpire?
Hockey Club *
Name of the "Saturday" hockey club you are associated with. Use NA where not applicable.
Playing District *
Sc-North
Sc-Midlands
Sc-East
Sc-West/SW
England
None of Above
Four SCOTTISH districts to associate yourself with or ENGLAND or None of Above
Emergency Contact *
For Playing Members we need the name, address and mobile number of the person(s) to contact in case of emergency.
Other
Other information if required