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INDIANA FIELD HOCKEY
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PROSPECT AND ELITE CLINICS
Please read our
refund policy
before completing the registration form below. When you are finished, click "Submit" and you will be redirected to the payment page.
Clinic Information
I will be attending (select all that apply):
*
Prospect Clinic - April 28
Elite Clinic - July 27
Elite Clinic - July 28
Elite Clinic - July 27 & 28
Participant Information
*
Indicates required field
Clinic Participant Name
*
First
Last
Is the participant currently 18 or older?
*
Yes
No
Participant's Date of Birth (mm/dd/yy)
*
Participant's School Grade
*
Participant's Anticipated Graduation Year
*
Primary Playing Position
*
Forward
Midfielder
Defender
Goalkeeper
Secondary Playing Position
*
Forward
Midfielder
Defender
Goalkeeper
Participant's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Participant's High School
*
Club Affiliation (if applicable)
*
Coach Name (if applicable)
*
Waiver and Medical Forms Information
Parent or Legal Guardian Full Legal Name
*
Parent or Legal Guardian Email
*
Both participant and guardian are required to sign the waiver and release forms. This email address will be used to send the electronic signature link to the parent or guardian.
Participant Full Legal Name
*
Participant Email
*
Both participant and guardian (if participant is under 18) are required to sign the waiver and release forms. This email address will be used to send the electronic signature link to the participant.
Please ensure that your email addresses listed above are accurate.
When you click submit below, you will be redirected to the purchase page where you can pay by credit card. Your registration is not complete until payment has been received. Closer to the event date, forms and waivers from DocuSign will be emailed. Completion is required for player participation.
Submit