Field Hockey Camp Registration Form
Please fill out the fields below to register for the 2026 Leominster Field Hockey Camp. Camp is scheduled for Wednesday 6/24 through Friday 6/26 at Doyle Field, from 9 am - 12 pm. Check-in begins at 8:30 am daily. Please contact catherine.brow@leominsterps.org with any questions!
Player Full Name
*
First Name
Last Name
Player Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player T-shirt Size
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the participant have any allergies or medical conditions?
Permission/Waiver Form: I, the undersigned parent/guardian, give permission for my child to participate in the Leominster Field Hockey Summer Camp. I understand that participation in field hockey and related camp activities involves inherent risks, including but not limited to falls, collisions, contact with other participants, equipment-related injuries, weather-related conditions, and other risks that may result in injury. I certify that my child is physically able to participate in camp activities and is in good health. I understand that it is my responsibility to inform camp staff of any medical conditions, allergies, or other health concerns that may affect my child's participation. In consideration of my child's participation in the camp, I voluntarily assume all risks associated with participation and agree to release, waive, and hold harmless the Leominster Field Hockey Program, Leominster High School, Leominster Public Schools, the City of Leominster, camp staff, coaches, volunteers, and their respective employees and representatives from any and all claims, liabilities, damages, or causes of action arising out of or related to my child's participation in the camp, except where prohibited by law. I understand that camp staff reserve the right to remove any participant whose behavior is unsafe or disruptive. By signing below, I acknowledge that I have read and understand this waiver and consent to my child's participation in the Leominster Field Hockey Summer Camp.
*
I agree
Parent/Guardian Signature
*
Preferred payment method? (We will contact you via email after your registration is received to provide payment details.)
*
Venmo
PayPal
Cash
Check
I understand that my registration is not confirmed/official until payment is received.
*
I understand
Register
Should be Empty: