L.E.A.P. Youth Field Hockey Registration
This is a registration to participate in L.E.A.P.'s Youth Field Hockey program.

THIS IS A FREE PROGRAM

LIMITED SPACE AVAILABLE

1ST CAMP/ CLINIC IS SCHEDULED FOR SATURDAY JANUARY 30, 2021

Contact us at (215) 425-7800 or email our Manager of Sports & Recreation at SPORTS@lighthouse1893.org, if you have any questions or concerns.

Rest assured that all of the information shared on this registration form is considered confidential.

ALL EVENTS AND ACTIVITIES ARE PENDING DUE TO COVID-19 RESTRICTIONS
Email address *
Lighthouse Field Hockey
Parent/ Guardian Name *
Phone Number *
Participant Name *
Participant Age *
Participant Grade *
Participant Zip Code of Residence *
Physical Restrictions
Sponsored by Field Hockey Connects
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