Bulldogs Skills Clinic Sign Up
June 9, 2019 from 9:00-11:00 am

Bring shinguards, a mouthguard, a stick, eye goggles, and a water bottle. Please indicate in this form if you need to borrow any equipment. We have a limited number of sticks and eye goggles. E-mail coach@churchillfieldhockey.com with additional questions.

Please also bring a check for $20 made out to WCHS Booster Club and write 'field hockey' in the memo.

Participant Name *
Your answer
What grade will she be entering in the fall? *
Your answer
Does she need to borrow any equipment? *
Parent Name *
Your answer
Home Address *
Your answer
Phone Number (where you can be reached during the clinic, in case of emergency) *
Your answer
E-mail *
Parent e-mail(s) - if entering more than one parent e-mail, please separate each with commas
Your answer
Other Emergency Contact (in the event you can't be reached) *
Include name and phone number
Your answer
I know there are some risks associated with playing field hockey, as with any sport. I will not hold Churchill High School, its Booster Club, its field hockey program, or any staff, students or volunteers responsible should my child become injured during or as a result of this clinic. *
I give my permission for my child to be photographed during this clinic. *
Photographs may be used in future flyers or be posted to @ChurchillFH on Twitter. Names will not be posted.
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