2024 Spring Registration Form

Please select your session...

Elite Spring Session

Premier Spring Session

Spring Skills Academy

Athlete Name *

First Name

Last Name

Athlete Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age Group *

U12 & under

U14

U16

U19

Athlete Date of Birth *

MM

DD

YYYY

Athlete Phone # *

(###)

###

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USA FH Membership Expiration Date *

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone Number *

(###)

###

####

Emergency Contact (provide a second contact aside from Parent/Guardian previously listed on registration) *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

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Do you own a Bluegrass practice pinny *

Yes

No

Waiver/Policies and Procedures *

By clicking below you acknowledge you have read and agree to the terms of the waiver and policies and procedures of Bluegrass Premier Field Hockey Club, LLC.

I have read and agree to the terms as listed on the waiver as well as the Policies and Procedures for Bluegrass Premier Field Hockey Club, LLC.