HCFC 2018-2019 Registration
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Parent Name *
Your answer
Parent Phone Number *
Your answer
Address *
Your answer
New or Returning Player *
Known Allergies *
Your answer
Family Doctor *
Your answer
Family Doctor's Phone *
Your answer
Person to notify if parent is unavailable *
Your answer
Person's Phone *
Your answer
Insurance Carrier and Group Number *
Your answer
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