Player Registration Form
Position
Players Name
*First
*Last
Address
*Street
*Email
*City
*Zip
State
*DOB
*Grade
*Telephone
*School
Emergency Contact
*Parent/Guardian
*Emergency Phone
Waiver/Release of Liability Agreement
East End Field Hockey does not provide medical insurance for players in the event of illness or injury requiring medical treatment. I
hereby accept any and all responsibility for, and assume the risk of and all injury and damages to the above named player, which
might arise directly or indirectly as a result of and or participation in Field Hockey. East End Field Hockey and its employees, coaches,
and officers can not be held responsible for any and all injuries that may occur. If medical attention is required in any East End Field
Hockey activity, we (I) give permission for such medical care to be administered.

We (I) hereby consent to the use of above named players image by East End Field Hockey for any and all purposes including without
limitation, video, still photographs, publications, any trade or advertising purpose.

I also under stand that there are no refunds or credits for any reason.

I certify that we (I) am familiar with the contents of this release, that we (I) have read and understand the same, and that it is
our(my) intention by signing this release that the same is binding not only to me, but my heirs, administrators, executors, successors
and assigns
.
Waiver/Release of Liability Agreement must be printed, signed and turned in on first day of clinic/camp,
league game,  practice, try-out, evaluation or any other East End Field Hockey event or activity.
Agree