Youth Registration and Consent Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Players First Name *

Players Last Name *

Home Phone *

Home Address *

Players Date of Birth *

YYYY

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 Menâ€™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 *

YYYY

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.