Scorpions Field Hockey Registration Form
FirstName:
LastName:
Home Phone:
Work Phone:
Mobile:
Address:
Postal Code:
City:
Date of Birth:
Email:
Outdoor League Availability:	Spring Only - May/June Summer Only - July/August Both Sub Only – FHC/FHC Registration Fee + $10 Per Match Not Available
Indoor League Availability:	Fall Only - October/December Winter Only - January/March Both Sub Only – FHC/FHC Registration Fee + $10 Per Match Not Available
Umpiring:	Yes - Already Certified Yes - Will be getting certified No - Umpiring Exemption Fee * No - Premium Fee ** * Umpiring Exemption Fee - Player will not umpire during the specified season. However, they will commit to helping team or club in administration, organization, etc ** Umpiring Premium Fee - Player does not have to umpire in the specified season or commit to any other responsibility associated to the team or organization. This is a $50 fee over and above league fees. It will be used to help the league finance umpire related training, equipment and wages.
Level Of Experience:
Preferred Position:
Comments: