House Field Hockey League- Spring 2024
We are happy to announce a new field hockey program that will be for players that are in 4th-6th grade, this program will be tournament style play that will allow players to play the game, and be better prepared for their modified season! Players will come on the dates below, be assigned teams, and play for the duration.


When: Mondays 6-7pm,  4/8,  4/15,  4/22, & 4/29
Where: Warehouse sports and performance 227 Thorn Ave Bldg R, Orchard Park, NY 14127
Cost: $80


Sign in to Google to save your progress. Learn more
Email *
MAIN Email: The email that you use to complete this FORM will be used for all communication for the entire season and invoicing, please use an email that you check daily*** *
Player Name  *
Grade *
Player Birthdate  *
MM
/
DD
/
YYYY
Player 's School *
Parent Name  *
Parent Email *
Parent Cell *
Emergency contact and phone number  *
MEDICAL INFORMATION: Insurance Company Name and Policy Number
*
MEDICAL RELEASE: I hereby give permission for my child to be medically treated for injuries or illness during participation in the Buffalo Outdoor season, Buffalo FHC LLC field hockey event. I also acknowledge that the participant/camper above is healthy and has no physical problems that would prevent participation in the camp. Primary insurance coverage rests with the camper, parents and/or guardian.
*
If participant is under the age of 18, please sign below that you acknowledge the MEDICAL RELEASE as stated above
*
In exchange for participation in all activities organized by Buffalo FHC and/or use of the property, facilities and services of Buffalo FHC, I agree for myself and (if applicable) for the members of my family, to the following:1. Parent/Athlete Code of Conduct: I will follow and respect instructions from all coaches and staff members. I will treat my teammates, coaches, and all staff members with respect. I will use respectful language and refrain from any unlawful activity and any forms of violence. I will respect others’ belongings and the facilities which are beingused.2. I agree to observe and obey the Athlete Code of Conduct, and all posted rules and warnings at the facility. I further agree to follow any verbal instructions or directions given by Buffalo FHC, or the employees, representatives or agents of Buffalo FHC . I recognize that failure to comply with any of these may result in my removal from the club's clinic.3. I recognize that there are certain inherent risks associated with the tournament and associated activities and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Buffalo FHC from any claims for injury, loss or damage arising out of my or my family’s use of or presence upon the facilities of Buffalo FHC, whether caused by the fault of myself, my family, Buffalo FHC, or third parties.4. I agree to indemnify and defend Buffalo FHC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities of Buffalo FHC, or participation in the tournament.5. I agree to pay for any and all damages to the facilities or equipment used by Buffalo FHC resulting from my or my family’s negligent, reckless, or willful actions.6. In my parents absence, I authorize the Buffalo FHC Staff to act in their best judgement for all emergency and medical treatment which may be needed in the event of an injury. I agree to hold the Buffalo FHC Staff Member, Physician, and/or Hospital in treating my child harmless.7. I understand that primary medical insurance coverage is my own responsibility.8. Any legal or equitable claim that may arise from participation in the above shall be resolved under New York State Law.9. I agree to allow Buffalo FHC to use any pictures or videos of myself from field hockey events for marketing purposes. I confirm that I have read, understand, and agree to sign this document. I understand that by signing this release, I surrender certain legal rights. Please read entire waiver- and click yes if you agree, or No you do not agree
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy