Spring 2022 UPRISE Field Hockey Club Try Out Registration Form

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Please complete the form below to register your athlete for UPRISE Field Hockey Club Spring 2022 tryouts. Tryouts will take place on Monday, March 7th at XL Sports in Mount Laurel.

Under 12 and Under 14 ONLY - 4:45-5:45 pm

A $45 try out fee must be paid upon registration through Venmo to @DHeilig or can be paid in cash at tryouts.

If you have ANY questions, please contact Danyle Heilig at uprisefhc@gmail.com.

Player's Last Name *

Player's First Name *

Street Address *

City *

State *

Zip Code *

Age Group *

Position *

Birthdate *

YYYY

Email Address *

Phone Number *

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

Emergency Contact and Phone Number *

UPRISE Field Hockey Club LLC. Parent Consent and Waiver of Claims

In consideration of the application being accepted, I, intend to be legally bound, do hereby, for myself, my heirs, executors, and administrators, waive, release, and forever discharge any and all rights and claims for damages which I may have or which may hereafter acquire to me against UPRISE FH Club and Eastern HS and assigns, for any or all damages which may be sustained or suffered by me in connection with my association with or participation in, and/or arising out of my traveling to or returning from said tryout to participated in at Eastern HS. The tryout director has permission to seek medical attention for our child and I grant permission for a physician or other designated agent to provide medical treatment in the event of injury or sickness.

Parent/Guardian Electronic Signature for Consent *

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