REGISTRATION: 2019 WMASS HKY Fall Youth Field Hockey Program at UMASS
Please complete the following information to register for the fall youth program and mail a check made out to "WMass HKY" to: WMass HKY, 16 Foxglove Lane, Amherst, MA 01002

COST: $150
COST (K-2 Program w/no playdates): $100

PARTICIPANT INFORMATION
First Name *
Your answer
Last Name *
Your answer
School Grade (Fall of 2019) *
Gender *
Playing Experience *
Reversible Jersey Size *
PARENT/GUARDIAN INFORMATION
Parent/Guardian #1: Name *
Your answer
Parent/Guardian #1: Phone *
Your answer
Parent/Guardian #1: Email Address *
Your answer
(OPTIONAL) Parent/Guardian #2: Name
Your answer
(OPTIONAL) Parent/Guardian #2: Phone
Your answer
(OPTIONAL) Parent/Guardian #2: Email
Your answer
(OPTIONAL) Any information you'd like to share with us
Your answer
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