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2022 Canadian Field Hockey & Cultural Club
SUMMER REGISTRATION FORM
www.cfhcc.ca
|
cfhcc@hotmail.com
| T: 647-469-6900
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* Indicates required question
Name of Athlete
*
Your answer
Select the Age Group of the Athlete
*
Choose
Under 10 (2012 and after)
Under 12 (between 2010 and 2011)
Under 14 (between 2008 and 2009)
Under 16 (between 2006 and 2007)
Under 18 (between 2004 and 2005)
Adult
Adult over 45
FHO Registration Number
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Choose
Male
Female
Prefer not to say
Address
Your answer
Email address
*
Your answer
Emergency Contact 1: Name
*
Your answer
Emergency Contact 1: Contact Number
*
Your answer
Emergency Contact 1: Relationship to Athlete
Choose
Mother
Father
Grandparent
Sister or Brother
Aunt or Uncle
Other
Emergency Contact 2: Name
Your answer
Emergency Contact 2: Contact Number
Your answer
Emergency Contact 2: Relationship to Athlete
Choose
Mother
Father
Grandparent
Sister or Brother
Aunt or Uncle
Other
Allergies/ Other Health Concerns
*
Your answer
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