Lethbridge Program

LETHBRIDGE FIELD HOCKEY FALL 2017 PROGRAM – Introduction to field hockey!

Ages 8-Adult

Cost: $50 (includes membership) – payment online when registering

Dates & Times:

Season: September 5- October 4
Two practices a week for 5 weeks
6-7pm Youth
7-8pm Adult

Venue Location: Nicholas Sheran School – 380 Laval Blvd W, Lethbridge, AB T1K 3Y2

What’s included:

Learning FUNdamental Sport Skills taught in a safe environment
Agility – Balance – Coordination – Speed
Make new friends, be part of a team!
Socks & t-shirt

Equipment required: Mouthguard and ‘soccer type’ shinguards / shorts. Sticks will be supplied.

*Note: You will receive a follow up email with all the final info from your coaches.

Questions?: contact Janelle at regional.info@fieldhockey.ab.ca

Lethbridge Fall 2017 Registration

Step 1 of 3 - Athlete Information

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I am*
- Male
- Female
I am a goalkeeper *
- Yes
- No
- I would like to try it
This is my first year of field hockey*
- Yes
- No
Program - Membership is included in Lethbridge Programs*
Total
$ 0.00 CAD
Athlete Information
Name*
FirstLast
Address*
Street AddressCityProvincePostal Code
Email*
Phone*
School/Club
Years played*
Date of Birth (dd/mm/yy)*
Age*
Parent’s/Guardian’s Consent Athletes Under 18
I hereby consent to my child participating in the Field Hockey Alberta program registered here. By checking the box directly below this form and permitting my son/daughter to participate in this program, I as the parent/guardian, and on behalf of the child, agree to release and hold without liability the FHA, CLFHA, FHAC and CJP, its agents, volunteers, Board of Directors and employees, from any and all claims for damages or bodily injuries arising out of participating in this field hockey program. I understand that the coaches and managers are not responsible for my child/ward before or after the game or practice. Therefore if I or another adult of my choosing is not at the field before or after game or practice time it is understood that this means that my child/ward has permission from me to leave the field of play / facility on their own. I also understand and grant permission that my child’s picture of participating in FHA activities may appear on FHA website and advertising. FHA has permission to contact me regarding the program and future programming. *
- I, the athletes parent/guardian hereby consent
Parent Name*
FirstLast
Parent Email*
Parent Phone*
Parent 2 Name
FirstLast
Parent 2 Email
Parent 2 Phone

Medical Information
Emergency Contact Name*
FirstLast
Emergency Contact Primary Phone*
Emergency Contact Secondary Phone
Relationship to Emergency Contact*
Emergency Contact 2 Name
FirstLast
Emergency Contact 2 Primary Phone
Emergency Contact 2 Secondary Phone
Health Information
Healthcare Province*
Health Care Number*
Family Doctor’s Name
Family Doctor’s Primary Phone
List of Allergies
Please indicate any previous injuries/conditions/diseases that may hinder performance (i.e., torn ACL, Concussion, ADD, Diabetic, etc.)

Athlete Code of Conduct
Athlete Code of Conduct
1. Compete/participate in a spirit of fair play and honesty.

2. Refrain from using profane, insulting, harassing or otherwise offensive language in the context of the activities of field hockey.

3. Address fellow athletes, coaches, officials, volunteers, event organizers, spectators and others associated with field hockey in a courteous and respectful manner.

4. Act in a manner that will bring credit to Field Hockey Community and yourself, both within and outside the competition arena and/or competition area.

5. Respect an individuals’ dignity; verbal or physical behaviors that constitute harassment or abuse are unacceptable. (Please refer to the Field Hockey Alberta Harassment Policy)

Parent/Guardian Code of Conduct

Parents will actively encourage and support the concepts of Field Hockey Alberta at all times. The concepts are:

1.Respect the rules Respect athletes Respect the opponents Respect the Coaching Staff and Officials and their decisions Maintain control at all times

2. Parents, friends or relatives are not permitted near the player’s bench during the games.

3. Parents shall not embarrass their child by yelling at players, coaches, or officials. By showing a positive attitude towards the game and all of its participants, your child will benefit.

4. Parents should learn the rules of the game and support the officials on and off the field and not criticize the referees in the presence of, or within an earshot of any player(s). This will help the development of the sport. Criticism only hurts the game.

5. Recognize the importance of “volunteer” coaches, trainers, and managers. Parents shall leave the coaching to the coaching staff and are not to encourage their child to play the game in a manner inconsistent with the team strategies or plans.

6. Parents shall not use abusive or foul language and any time in the field.

7. Any violation of this conduct may result in not being allowed in the field while your child/children take part in any practice, game, or tournament.
I have read and agree to abide by the ‘code of conduct’*
- I Agree
Parent volunteering intrest
Additional Comments

Lethbridge Fall 2017 Registration

Step 1 of 3 - Athlete Information

Athlete Information

Parent’s/Guardian’s Consent Athletes Under 18

Medical Information

Health Information

Athlete Code of Conduct