U-10 Spring Registration 2023

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Please complete the form below to register your athlete for the UPRISE Field Hockey Club Spring 2023 Under 10 program.

Upon completion of this form $325 participation fee must be paid.

The fee can be paid through Venmo to @DHeilig or forward a check payable to Danyle Heilig to UPRISE FHC PO Box 122 Moorestown, NJ 08057.

Upon receipt of payment, you will receive an email confirming your participation in the program.

Player's Last Name *

Player's First Name *

Birthdate *

YYYY

USFHA Membership Number (you must be a member of the United States Field Hockey Association to play for UPRISE FHC) *

Email Address *

Street Address *

City *

State *

Zip Code *

Phone Number *

Emergency Contact and Phone Number *

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