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2024 D-City Club Registration
Registration info for D-City club players.
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Player Last Name
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Player First Name
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USA Field Hockey Age Group
U19 (Birth year 2005, 06, 07)
U16 (Birth Year 2008, 09)
U14 (Birth Year 2010, 11, 12)
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Street Address
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City
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Zip Code
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Email Address (parent)
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Emergency Contact 1: Parent/Guardian Name and phone #
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Emergency Contact 2: Name and Phone Number
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Date of Birth
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USA Field Hockey Waiver is Complete
Yes
No
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I understand that club dues are $175 per month payed via Venmo on the first of the month (late fees may apply).
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No
I need a scholarship or financial assistance
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