2023 CVYFH Fall Registration
Please fill out the following information you register your child for the 2023 fall season. Registration will close on August 1, 2023 unless we hit max participation for our teams, which we will then start a wait list.
Sign in to Google to save your progress. Learn more
Email *
Athlete First and Last Name *
Athlete Date of Birth *
MM
/
DD
/
YYYY
Athlete Grade in 2023/2024 School Year *
Years of experience (1 week camps do not count)
*
Athlete T-Shirt Size *
Athlete Allergies *
Athlete Medical Conditions *
Athlete Medications *
Parent 1 Name *
Parent 1 Email *
Parent 1 Cell *
Parent 1 Address *
Parent 2 Name
Parent 2 Email
Parent 2 Cell
Parent 2 Address
Emergency Contact
In case of emergency, if a parent cannot be reached, please include another contact OTHER than parent 1 and parent 2.
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relationship to Athlete *
I give permission for my child to be photographed in field hockey related activities and give permission for the photographs to be used on the Conestoga Valley Youth Field Hockey Association website or social media account. *
Medical Waiver:
I assume all risks and hazards incidental to the conduct of field hockey activities. I do hereby release, absolve, indemnify, and hold harmless the Conestoga Valley Youth Field Hockey Association, officers, coaches, practice facilities, game facilities and sponsors. In case of injury to my child, I hereby waive all claims against the officers, coaches, practice facilities, fame facilities and sponsors. I likewise waive to the extent not covered by liability or accident insurance any claim against the person transporting my child to and from field hockey activities. I also certify that my child is in good health and is able to participate in all activities.
I agree and will adhere to the Medical Waiver. *
Parent Code of Conduct:
As a parent of an athlete(s) in the Conestoga Valley Youth Field Hockey Association, I will abide by the following guidelines:
I will set a good example by practicing teamwork with all parents, athletes and coaches and supporting the athletes, coaches and other parents along with the values of sportsmanship, loyalty, commitment and hard work.  As a parent, I will not coach or instruct the team or any athlete or interfere with coaches at any time (practice and games).  If I have a complaint or problem, I will try to resolve it with a coach in the presence of a board member.  This will not be done during practices, games or while the athletes are present.  If a board member is not available or not present, I will contact one to set up a meeting with the coaches, board member and myself.  As a parent, I understand that criticizing, name-calling, using abusive language or gestures directed toward the coaches, officials, opposing team and/or any athlete will not be permitted or tolerated.  I am responsible for the transportation of my child(ren) to and from all practices and games at the scheduled times.  During games, questions or concerns regarding decisions made by the officials are to be directed to a coach or board member.  If you need to talk to a coach, do so only before or after practice.

Sanctions: Should I conduct myself in such a way that brings discredit or discord to the Conestoga Valley Youth Field Hockey Association, I voluntarily subject myself to disciplinary actions. The Conestoga Valley Youth Field Hockey Association maintains the right to terminate any membership with or without cause in the interest of our vision, mission and objectives.
I agree and will adhere to the Parent Code of Conduct. *
Refund Policy:
If your daughter decides not to play, a full refund will occur if the organization is made aware before the start of any practices. A 50% refund will be given if the organization is made aware after the start of the first practice and before the first game. No refunds will be given after the first game.
I agree to the Refund Policy.
*
Please list any volunteer opportunities you are interested in. (Parent 1)
Please list any volunteer opportunities you are interested in. (Parent 2)
Cost: $80 (1st athlete in family), $70 (2nd athlete in family), $60 each (any additional athletes in family)
I agree to pay for my child's registration before August 1st, 2023. *
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