Spring 2021 UPRISE Field Hockey Club Try Out Registration Form
Please complete the form below to register your athlete for UPRISE Field Hockey Club Spring 2021 tryouts. Tryouts will take place on Monday, March 1st at XL Sports in Mount Laurel.
Under 12 and Under 14 - 5:00-5:45 pm
Under 16 and Under 19 - 6:00-6:45 pm
A $25 try out fee must be provided the day of tryouts. Upon arrival, please check in upon arrival and provide payment. All payments are non-refundable and ONLY cash OR Venmo (@DHeilig) will be accepted.
If you have ANY questions, please contact Danyle Heilig at
uprisefhc@gmail.com
.
* Required
Player's Last Name
*
Your answer
Player's First Name
*
Your answer
Street Address
*
Your answer
City
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Your answer
State
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Your answer
Zip Code
*
Your answer
Age Group
*
Choose
U12 (born after 2008)
U14 (born 2007 or 2008)
U16 (born 2005 or 2006)
U19 (born 2002, 2003, or 2004)
Position
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Choose
Forward
Middie
Back
Goalie
Unsure
Birthdate
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MM
/
DD
/
YYYY
Email Address
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Your answer
Phone Number
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Your answer
USFHA Membership Number (you must be a member of the United States Field Hockey Association to play for a club program)
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Your answer
Emergency Contact and Phone Number
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Your answer
UPRISE Field Hockey Club LLC. Parent Consent and Waiver of Claims
In consideration of the application being accepted, I, intend to be legally bound, do hereby, for myself, my heirs, executors, and administrators, waive, release, and forever discharge any and all rights and claims for damages which I may have or which may hereafter acquire to me against UPRISE FH Club and Eastern HS and assigns, for any or all damages which may be sustained or suffered by me in connection with my association with or participation in, and/or arising out of my traveling to or returning from said tryout to participated in at Eastern HS. The tryout director has permission to seek medical attention for our child and I grant permission for a physician or other designated agent to provide medical treatment in the event of injury or sickness.
Parent/Guardian Electronic Signature for Consent
*
Your answer
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