U-10 Spring Registration 2023
Please complete the form below to register your athlete for the UPRISE Field Hockey Club Spring 2023 Under 10 program.  

Upon completion of this form $325 participation fee must be paid.  

The fee can be paid through Venmo to @DHeilig or forward a check payable to Danyle Heilig to UPRISE FHC   PO Box 122   Moorestown, NJ 08057.

Upon receipt of payment, you will receive an email confirming your participation in the program.

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Player's Last Name *
Player's First Name *
Birthdate *
USFHA Membership Number  (you must be a member of the United States Field Hockey Association to play for UPRISE FHC) *
Email Address *
Street Address *
City *
State *
Zip Code *
Phone Number *
Emergency Contact and Phone Number *
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