WOODBRIDGE INDOOR FIELD HOCKEY LEAGUE 6 on 6 (teams of 10) Two 15 minute periods 14 games Grades 8th and up Individual Fee $75.00 (After Nov. 25th: $85 and subject to availability) Team of 10: $650.00 Teams MUST register by November 25 Contact: Holly Johnson email: holly.jean@mac.com 703.975.3879 LOCATION: Total Sports Pavilion, 2380 Research Court Suite 110 Woodbridge, VA 22192. 703 490-4988 DATES & TIMES: 12/15 (5PM-7PM), 12/17 (4PM-6PM), Tuesdays & Thursdays (4PM-6PM) beginning on 12/21 through February 3. No games on 12/18 & 12/30. HOW TO SIGN UP: You must pre-register for this league! There are two ways to register as a team or as an individual. Teams will be limited to 10 people. Only one team registration form, parent waivers, and one check of $650.00 per team, please! Individual registrations will be used to help fill teams that are short players. To register, please drop off (at Total Sports Pavilion) or mail the registration form, parent waiver, and the league fee. 2009-2010 High School Indoor League Individual Registration Form (for individual players only) Name: E-mail: Address: City: State: Zip: Home Phone: ( ) - Parent Cell Phone: ( ) - High School: Date of Birth: / / Grade (circle): 8 9 10 11 Years of Hockey Experience: Position: **If you would like to order a long-sleeved league T-shirt, please add $15 to your registration fee and indicate your size here (circle one): small medium large REMINDER: A team will be put together with the individual registrations. However, this team will be limited to 10 people. Individual registrations will also be used to help fill teams that are short players. WAIVER I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, Holly Johnson, and Total Sports Pavilion for any injuries or illnesses which may result from my participation in this league. I attest Parent/Guardian Signature: Participant s signature: Registration Fee: $70 per individual (Please make checks payable to Holly Johnson WFHC) Mail forms and fees to: Indoor Field Hockey League Total Sports Pavilion 2380 Research Court Suite 110 Woodbridge, VA 22192 WHAT TO BRING: completed waiver form, hockey stick, mouth guard, shin guards, sneakers (no cleats), water, shorts, and whatever else you need to play.
Team Registration Form - WFHC s 2009 High School Indoor League December 15-February 3 at Total Sports Pavilion Team Name: High School: Team Contact Person: Street Address: City: State: Zip: Evening Phone #: E-mail: Team Roster: (Please indicate those players who ordered the league T-Shirt. **These shirts must be paid for with individual checks separate from the team check of $650.**) Player Name Tshirt size Player Name Tshirt size 1 6 2 7 3 8 4 9 5 10
WAIVER (to be completed by all players on your team roster): 1. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, 2. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, 3. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, ---------------------------------------------------------------------------------------------------------------------------------- 4. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, 5. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club,
6. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, -------------------------------------------------------------------------------------------------------------------------------------------------------------------- 7. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, Holly Johnson, Total Sports Pavilion for any injuries or illnesses which may result from my participation in this league. I attest ---------------------------------------------------------------------------------------------------------------------------------------------------------------- 8. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, ------------------------------------------------------------------------------------------------------------------------------------------------------------------- 9. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club, Holly Johnson, Total Sports Pavilion for any injuries or illnesses which may result from my participation in this league. I attest ----------------------------------------------------------------------------------------------------------------------------------------------------------------- 10. I do hereby waive and release all claims for myself, my heirs, and assignees against the Woodbridge Field Hockey Club,