HFH July 2023 Elementary Skill Sessions: Registration Form [ July 17-20]
Please complete the following form to register your child for this summer's HFH field hockey session(s) in July 2023. We look forward to seeing you this Summer!
Parent Name
*
First Name
Last Name
Parent - E-mail
*
example@example.com
Child's Name
*
First Name
Last Name
Upcoming Grade Level
*
K
1
2
3
4
5
6
Emergency Contact: Phone Number 1
*
-
Area Code
Phone Number
Emergency Contact: Phone Number 2
-
Area Code
Phone Number
Will your child need to borrow a stick?
*
YES
No
Additional Comments [allergies, misc. information]
Liability/Participation Waiver
I hereby release and discharge Hempfield Field Hockey, its agents, employees, staff members, directors, and officers from any claims, responsibilities or liabilities for injuries or harm incurred as a consequence of my involvement as a coach, a player or spectator during my participation. I fully understand that these activities involve risks. These risks may be caused by the participant’s actions or by the actions of others participating in the activity, the condition in which the activity takes place, or the negligence of the participant named above; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages incurred as a result of my participation in the activity. I authorize Hempfield Field Hockey, its agents, employees, staff members, directors and officers to take whatever action is necessary, in their best judgment, in an emergency and I hereby release and discharge Hempfield Field Hockey, its agents, employees, staff members, directors and officers from any responsibility or liability related thereto. I hereby grant Hempfield Field Hockey, to administer proper treatment for the participant. I certify that the participant is in good health and able to participate in all training activities. I also permit Hempfield Field Hockey to use any photographs my child(ren) for promotional purposes. Additionally, I understand that I am responsible to pay all training session fee(s) prior to my child's participation on the first day of sessions.
Parent Signature
*
Clear
PAYMENT:
Online - Paypal, Credit/Debit Card
Check - Made payable to: 'Hempfield Field Hockey' [Bring to 1st day]
Pay by Check: June 17 - 20 Sessions K-3 [9:00-9:45 AM] 4-6 [9:45-10:30 AM]
Monday, July 17 [$12.00]
Tuesday, July 18 [$12.00]
Wednesday, July 19 [$12.00]
Thursday, July 20 [$12.00]
Mon/Tues/Wed/Thurs [$40.00]
I agree to hand in the check [made payable to Hempfield Field Hockey Camp] prior to my child's participation on the first day.
I agree
Pay Online: July 17-20 Sessions: K- 3 [ 9:00-9:45 AM] 4-6 [9:45-10:30 AM]
prev
next
( X )
Monday, July 17
$
12.00
Tuesday, July 18
$
12.00
Wednesday, July 19
$
12.00
Thursday, July 20
$
12.00
Mon/Tues/Wed/Thurs
$
40.00
Transactional Fee
$
2.50
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: