Please complete all fields to register for the league. Please also be sure to complete the waiver and submit payment.

Link to Pay: https://bluegrass-premier-field-hockey-club-llc-102512.square.site/

Waiver: https://bpfhl.com/waiver-consent-form

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Grade (Fall 2025)

School (Fall 2025)

Birthday

YYYY

Emergency Contact & Relation to athlete

Emergency Contact Phone #

(###)

###

####

Allergies

Policies and Procedures

I have read, understand, and agree to the Policies and Procedures as listed on the website.

Bluegrass Premier Field Hockey Club, LLC

Send Us A Message!