EVERGREEN FIELD HOCKEY FREE CLINIC REGISTRATION

Player *
Player
Players Date of Birth *
Players Date of Birth
Parent/Guardian *
Parent/Guardian
Parent Phone *
Parent Phone
Waiver *
I hereby consent to and approve of the above named participating in any event, competition, or activity at the Evergreen Sportplex. I understand the risks associated with participating in these program and hereby waive, for myself and/or the above named, any and all claims, demands and right of action against the Evergreen Sport Complex LLC, Play to Win, LLC, EVG, LLC and employees of these entities for any injury or accident which may occur in this activities. The parent(s) and or guardian(s) consent to and understand that photographs and or images captured during the any program or as a spectator may be utilized in Evergreen Sportsplex literature and advertisements