Join the club

Interested in becoming a member of Burton Hockey Club?

Please complete the short form below and a Committee Member will get back to you.

Application form

Fields marked with * are required.

Member details

Forename *

Surname *

Date of birth *

Gender *

Email address *

Phone number

Enquiry details

Sport

Interested in

Please provide details of any previous experience that may be relevant and any other information requested above.

* I understand that by submitting this data I am giving consent for my data to be held by the club. For more details on how they will use my data click here

Please confirm you're human.

Contact us

Burton Hockey Club

Shobnall Road Shobnall Burton-upon-Trent Staffordshire

07777777777 Burtonhockeyclub1899@gmail.com

Sponsors Area

Details of Data Controller are

Name: Burton Hockey

Email: burtonhockeyclub1899@gmail.com