2023-24 Winter U-10 Registration

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Please complete the form below to register your athlete for the UPRISE Field Hockey Club Winter 2023-24 Under 10 Program.

Upon completion of this form $395 participation fee must be paid.

The fee can be paid through Venmo or personal check. If paying by Venmo, please forward payment to @DHeilig and simply put your daughters name in the reason for payment. If paying by check, please mail a check payable to Danyle Heilig and mail it to Danyle Heilig 505 Sentinel Rd 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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