UMASS 2018 Fall Field Hockey Clinic
September 8, 2018 from 11am-1pm at UMASS - Cost: $60

Please complete the following information to register and mail a check for $60 made out to "WMass HKY" to: WMass HKY, 16 Foxglove Lane, Amherst, MA 01002

Participant Information
First Name *
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Last Name *
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Address (Street Address, City, State, Zip) *
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Email Address *
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Phone *
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Position *
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# Years of Experience *
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School Name *
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School Grade *
Club Name (Optional)
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Parent/Guardian/Emergency Contact Information
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Email Address *
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Phone # *
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