STL FHC Winter Leagues 2021
PARTICIPANT NAME (FIRST, LAST) *
League attending? *
Gender
Clear selection
Player DOB *
MM
/
DD
/
YYYY
Current grade level? *
Name of current school attending? *
Reversible Club Pinnie Size *
Parent Name *
Parent Phone Number *
Home Address *
Emergency Medical Conditions (if applicable)
***IN THE EVENT OF AN EMERGENCY, PLEASE LIST 2 CONTACTS WE CAN CALL (WE WILL CALL PARENTS FIRST)***Name, Relationship to Player & Phone Number *
*PLEASE READ* FIELD HOCKEY LEAGUES WILL BE HELD AT VETTA SPORTS-MANCHESTER. PAYMENT IS DUE BY DECEMBER 21, 2020. NO REFUNDS WILL BE GIVEN ONCE THE PROGRAM HAS BEGUN. IF WE MUST CANCEL DUE TO INCLEMENT WEATHER WE WILL DO OUR BEST TO SCHEDULE A MAKEUP SESSION DATE. PLAYERS WILL NEED TO BRING A STICK, MOUTHGUARD, SHIN GUARDS, ATHLETIC SHOES/TURF SHOES, ATHLETIC SHOES & WATER BOTTLE. PARTICIPATION AGREEMENT: I AGREE TO MY CHILD PARTICIPATING IN ST. LOUIS FIELD HOCKEY CLUB WINTER 2021 LEAGUES AND THAT SHE/HE WILL COMPLY WITH ALL RULES AND REGULATIONS. I FURTHER AGREE THAT I WILL NOT HOLD ANDREA HOOD, ST. LOUIS FIELD HOCKEY CLUB, VETTA SPORTS-MANCHESTER OR ANY OF THE AFOREMENTIONED EMPLOYEES RESPONSIBLE IN CASE OF ACCIDENT OR INJURY. I UNDERSTAND THAT NO ACCIDENT INSURANCE IS PROVIDED. I ALSO AGREE TO ABIDE BY THE STANDARDS AND GUIDELINES OF ST. LOUIS FIELD HOCKEY CLUB. SOCIAL MEDIA/PHOTO RELEASE: I GIVE ST. LOUIS FIELD HOCKEY CLUB PERMISSION TO TAKE AND SHARE PHOTOS OF MY CHILD ON THE CLUB WEBSITE, FACEBOOK PAGE AND INSTAGRAM PAGE FOR ADVERTISING USE. PLEASE SIGN BELOW AND DATE BELOW. *
Parent Email for Invoice *
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