Please complete the form to sign up for our Sprouts Program. Please be sure to submit payment and the completed waiver.

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 #

(###)

###

####

Alllergies

T-Shirt Size

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

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