Age group (poule)*

    Women Over50Women Over55Men Over60Men Over65Men Over70Men Over75

    Representative name*

    Function representative*


    Do you bring umpires with the team?*


    Team colours home*

    Team colours away*

    Did you book a hotel?*




    The Tournament fee will be € 350,- for 15 players (additional players are welcome at a contribution of € 20,00 p.p.) and total amount should be paid to HC TILBURG, account : IBAN NL36RABO0116843667 (BIC RABONL2U), mentioning the team, number of additional players and age category. The amount should be transferred before Feb. 1st - 2022.

    Please note, that by subscribing to this tournament you and your team will not institute a claim of any nature against the Tournament Organization and the HC Tilburg and will not hold  the  Tournament Organization and the HC Tilburg or any member of these organizations responsible for any damage or loss of any nature whatsoever.

    The Royal Dutch Hockey Assocation (KNHB) informed us that the collective Insurance policy applies only for Dutch participants and therefore is not valid for foreign players. The same goes for wearing the so called “bits”(dental protection).