Blockstar Field Hockey Player Profile
2023 GOALIE ONLY Clinics and Camps
Athlete Information
Athlete's Name
*
First Name
Last Name
Athlete's Email:
*
example@example.com
Grade
*
Age
*
School or University
*
High School or University Grad Year
*
Hometown
*
State / Province
*
Country
*
Club Team (if applicable)
Skill Level
Beginner
Intermediate
Advanced
# of Years You Have Played Goalkeeper
*
Skills You Wish To Learn
*
What are your field hockey goals? (ie. improve your skills for your HS team, play in college, play on National Team)
*
How did you hear about Blockstar?
*
How soon are you looking to train and ideally where? ie August, CT
*
Want a Blockstar camp near you? Do you know of a field we can use? (Ideally, Astroturf, cork-based turf, or short grass). Do you know someone who would want to host a camp?
Please list any additional addresses you would like added to our email list.
Additional Comments/ Questions:
Parent/Guardian Information
Name
*
First Name
Last Name
E-mail
*
Phone Number
-
Area Code
Phone Number
Submit
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