INDIANA FIELD HOCKEY
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Home
Events
Clinics
Camps
ABOUT US
Coaches
Contact Us
Refund Policy
Mailing List
SUMMER ELITE CLINIC
Please complete the registration form below. When you are finished, click "Submit" and you will be redirected to the payment page.
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 Current 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 note
: both the clinic participant and the parent or legal guardian of the participant are required to sign the medical release and liability waiver in order to complete event registration. The email addresses entered below will be used to send the electronic signature links; please confirm that they are accurate.
When you click submit below, you will be redirected to the purchase page where you can pay by credit card. Once payment has been received, we will process your registration and will email you DocuSign links so that you can complete the required forms and waivers. Forms and waivers need to be completed prior to player participation.
Submit