2020/2021 TGT FHC Indoor Registration and Release Form
Who, if anyone, referred you?
Travel or Club? *
Last Name *
First Name *
Date of Birth *
MM
/
DD
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YYYY
Age as of January 1, 2021 *
Address *
Email Address *
School *
Home/Cell Phone *
Years of Experience *
Parent/Guardian Name *
Parent/Guardian Email Address *
Parent/Guardian Cell Phone *
USAFH Membership Number *
Uniform Number (if reusing from previous season)
I acknowledge that field hockey and its related activities are potentially HAZARDOUS activities and that I made a voluntary choice to participate in those activities despite the risks that they present. In consideration of my being permitted to participate in the 2020/2021 TGT FHC Indoor Program, I agree to ASSUME ANY AND ALL RISKS OF INJURY OR DEATH which might be associated with or result from my participation in the tryouts, practices, tournaments, clinics, or activities associated with TGT FHC. Initial by player and parent/guardian below. *
I further agree to RELEASE FROM LIABILITY and INDEMNFY AND HOLD HARMLESS the organizers and sponsors of this practice, clinic, tournament, or tryout session including coaches, parent sponsors, and officials for any damage, injury, or death to myself or to any person or property, whether caused by their NEGLIGENCE or for any other reason, in any way connected with my participation in these various activities. Initial by player and parent/guardian below. *
I, the undersigned, have carefully read and understood this agreement and all of its terms. I understand that this is a RELEASE OF LIABILITY which will legally PREVENT me or any other person from filing suit or making any other legal claim for damages in the event of my death or any injury to me. I nevertheless enter into this agreement freely and voluntarily and agree that it is binding upon me, my heirs, assigns and legal representatives. Initial by player and parent/guardian below. *
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