UPRISE Field Hockey Club                                  U-12 Try Out Registration 2019-2020
Please complete the form below to register your athlete for UPRISE Field Hockey Club 2019-2020  tryouts.  Money must be provided the night of tryouts. Upon arrival, please report to the field hockey turf (McAleer Stadium) check in at the concession stand and pay at that time.

***$25 for Current UPRISE Field Hockey Club Members, $50 Non-UPRISE Members***

All payments are non-refundable.  ONLY Cash accepted!

Dates and Times of Tryouts:
U 12 (born after 2007) - Monday, June 10  5:30-7:00 pm
Make Ups for all age groups - Thursday, June 13 6:00-7:00 pm

All try outs will be at Eastern Regional High School.

If you have ANY questions, please contact Danyle Heilig at uprisefhc@gmail.com 
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Player's Last Name *
Player's First Name *
Position *
Birthdate *
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DD
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USFHA Membership Number  (you must be a member of the United States Field Hockey Association to play for a club program) *
Email Address *
Street Address *
City *
State *
Zip Code *
Phone Number *
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.
Electronic Signature for Consent *
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