Youth Registration and Consent Form
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Email *
Players First Name *
Players Last Name *
Home Phone *
Home Address *
Players Date of Birth *
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Players email address
Parents Email Address
AB Health Care No. *
Do you have any health concerns that we should be aware of ?
Any allergies, chronic pain, recent surgeries
Have you played organized sports before ?
If yes please provide details.
Consent
I hereby give my consent for my child to participate in the activities organized by the Field Hockey Association of Calgary that is an adult sport league. I recognize that it is my responsibility to ensure that my child has adequate insurance coverage against any extra injuries that may occur as a participant of field hockey activities. In the event of injury, I hereby authorize the coach or manager (or designate) to obtain any medical assistance that is deemed necessary. I understand that if my child is registered to play in the Men’s League, this includes sport injury insurance by Field Hockey Alberta if appropriate equipment (shin pads and mouth guard) is worn.

BY SUBMITTING THIS FORM YOU ARE SIGNING A LEGALLY BINDING DOCUMENT.
Parents Name *
Date of Signing *
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