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Check one:
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Club Team Program Grades 6-12 $245
Summer League 2012 Grades 9-12 $85
Summer League 2012 Grades 6-8 $85
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Youth Summer Clinic grades 1-5 $60 |
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Pre-season prep clinic High School $65
Pre-season prep clinic MIDDLE SCHOOL $65 |
| First Name: |
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| Last Name: |
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| Address Street: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Cell Phone: |
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| Emergency Phone: |
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*Email:
necessary for communication, etc. |
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grade in 2011-2012 and school: |
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| field hockey experience: |
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| date of birth: |
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Goalkeepers only:
check box |
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| Pre-season prep only: Team Name: |
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| check box if applying to summer league as an individual without a team |
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| If you are applying for Summer League with your team, list Team name: |
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Medical conditions Extreme
should be made aware of: |
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media waiver: I allow Extreme Field Hockey to Use photos and video of my Daughter on the EXtreme FH website and other Extreme FH promotions.
No Refunds/discounts/deferments will be given after the first week of each skills session. No Refunds/discounts/deferments will be given for tournament entry fees, summer league and pre-season prep. There are no discounts/refunds for weather related cancellations!
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