Fall 2020 Future Warrior Field Hockey
This registration form shall be completed by the legal authorized parent or guardian of such minor/child participant. All players must provide their own mouth guard and field hockey goggles are optional for play. The Future Warriors Program is able to provide sticks and shin guards for use during sessions/ games as needed but your own shin guards are best. Sessions will take place at Newtowne Park in Pocomoke, Maryland.
Sessions will include:
FIELD  HOCKEY  SKILLS  WORKSHOPS
CHARACTER  &  SPORTSMANSHIP  TRAINING
GAME PLAY & APPLICATION  OF  LEARNED  SKILLS
Sessions will be provided rain or shine in most cases. Cancellations will be posted 2 hours before the start of our first session of the day on our FB page: https://www.facebook.com/groups/167131043662211/
 
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Player First Name *
Player Last Name *
Player DOB *
MM
/
DD
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YYYY
Street Address *
City *
State *
Zip Code *
Parent/ EMERGENCY Contact Name *
Parent/EMERGENCY Contact Phone Number *
We are looking for Parents with field hockey experience to help coach our game play this season. Would you be interested and available for all sessions? *
Parent Email *
Player School of Attendance *
Player Grade 2020
PAYMENT $25 per player ($20 for additional sibling(sister) in the same immediate family) *
Any medical, psychological, or behavioral conditions we should be aware of (bee stings, food allergies, etc.)? *
Is participant taking any medications or have a condition that may affect participant’s safety or performance in the activity? *
In case of injury or emergency, I for myself and/or participant (if participant is minor/child), and my personal representatives, heirs and assigns, (severally and collectively “I” for this registration form) give permission for an activity representative to call 911 and transport participant to a hospital.  I shall inform Future Warriors Director, Brandi Castaneda, in writing, of any medical or health conditions of participant that occurs or develops and which could affect participant’s safety, performance or participation in or throughout the activity. *
Required
ACKNOWLEDGEMENT, WAIVER AND RELEASE OF LIABILITY:I hereby confirm participant is in good health and able to participate in the activity.  I acknowledge the activity may involve risk and danger of bodily injury or death.  I fully accept and acknowledge the activities may in involve risk, and I hereby assume the risk and responsibility for all dangers and risks associated with the participant in the activity.I acknowledge that Future Warriors, Worcester County Parks & Recreation, and their respective employees, directors, officers, volunteers, members and any other participant, entity, party or person involved in any regard with the activity or the activity premises and their respective agents, personal representatives, heirs, employees, contractors, successors and assigns (each on “activity representative” and collectively the “activity representatives”), shall not be responsible or liable in any regard or manner for any and all property damage or bodily injury (including serious physical injury or even death) incurred by participant or any party related thereto as a result of his/her participation in the activity.I have read, fully understand, and hereby freely sign, approve of, and agree to the terms of this registration form.  I hereby unconditionally release, discharge, covenant not to sue, waive my rights and remedies, and agree to hold harmless the activity representatives from any and all claims, costs, demands, losses, damages, or expenses associated with, in whole or in part, participant’s involvement with the activity.  I certify all answers and information provided on this registration form are to the best of my knowledge true and correct throughout the activity.  I shall inform Future Warriors Director, Brandi Castaneda, in writing if any information provided in this registration form is incorrect or changes through the course of the activity. I understand Future Warriors  does not perform criminal and/or background checks on activity representatives.  I shall present a government-issued photo identification card including, but not limited to, my drivers license, passport, or United States Visa to the activity representative for review, if requested, during Future Warriors activities. *
Required
COVID-19 Liability and Accountability: COVID-19 and its effects in our area will require that athletes and parents abide by current CDC and State of Maryland regulations. Regulations will be communicated each session. It is the expectation that both the athlete and parent abide by the rules set forth. Please arrive to the September 10th session and future sessions wearing a mask and remaining 6 feet apart, socially distant from other participants. Athletes do not need to wear masks while participating at this time. Any changes will be communicated with parents and participants. Athletes may be asked to have a temperature reading taken upon arrival along with a symptom check. We will make every effort to keep kids and families safe during Future Warriors events. *
Required
By checking below you ALSO acknowledge that you have viewed the CDC Fact Sheet for Parents regarding Sports related concussions and the precautions/ actions you should take should a head injury occur. https://www.cdc.gov/headsup/pdfs/youthsports/parents_eng.pdf *
Required
PARENT SIGNATURE. (Typed signature serves as a digital signature and warrant the truthfulness of the information provided in this application.) *
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