2018 Swift River Field Hockey Sign-Up
For Students in Grades 2 - 6

Please complete and submit this form to register your child for Swift River Sports Field Hockey. Please complete one form for each participating child.

Please bring $10.00 (or a check made payable to the Town of Wendell) on the first day; the cost for each additional child is $5.00 with a $20.00 cap per family. The cost includes a tee-shirt. If your family cannot afford the cost, please contact Johanna Fitzgerald at (978) 544-2398. If your child played soccer and already has a SRS Sports tee shirt, the cost to register for Field Hockey is only $5.00 (if you have a shirt from soccer and you have not yet paid, please do so ASAP).

Players from the Mahar Field Hockey Team will help run the program, and the Mahar Varsity Field Hockey Coach will attend if possible! Thank you very much to Mahar for providing the equipment for this program!!!

Swift River Sport Field Hockey will run from 1:30- 2:30 PM on SIX SATURDAYS starting May 5th in the lower SRS field.

PARTICIPANTS MUST BRING MOUTH GUARDS AND SHIN GUARDS.

Mouth guards are available at Walmart or Target for around $1.00 - $2.00. Some extras will be on hand, but they need to be molded at home, so it is best to bring your own. Some extra shin guards will also be on hand each week, but to ensure your child has a pair, it is best to bring them.

Field hockey sticks and balls will be provided by the program (on loan from Mahar).

Please note that field hockey can be a dangerous sport. Field hockey sticks and balls are very hard and heavy. Please discuss the importance of safe behavior with your child before registration. Program volunteers will ask any child who is being unsafe to sit out, and if the behavior continues, that child will be removed from the program.

* Required Fields

Student Last Name: *
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Student First Name: *
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Parent Phone Number: *
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Parent Email: *
Your answer
Student Grade: *
REQUIRED: PARTICIPATION WILL NOT BE ALLOWED IF THIS PART OF THE FORM IS NOT COMPLETED. Informed consent for participation in Swift River Sports: in consideration of the child listed above for participation in this volunteer-organized event, I hereby, for myself, heirs, executors, and assigns, waive and release any and all rights and claims for damages I may have against organizers, volunteers, and/or sponsors of the Swift River Sports Program, including Swift River School and the Town of Wendell, for any and all injuries or other damages in said program. *
Please type your first and last name to confirm that you understand and accept the above conditions.
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Date Signed: *
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Additional information that you would like us to know about your child:
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