USFHL National Championship Registration
Region Rep Name
Club Team Name (Representing Region/League)
Men or Women's Team?
Team Captain / Point of Contact Name
Team Captain / Point of Contact Email
Team Captain / Point of Contact Phone #
Payment Process (July 1, Payment Deadline)
1) Mail Check made out to “Lucking Field Hockey, LLC” to 112 Cliff Ave, Lancaster PA 17602, put team name in comment
2) Paypal: Send to Paypal account
or request invoice for $15 processing fee by emailing
National Championship Price
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