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PANTHERS FIELD HOCKEY

PLAYER INFORMATION

Player’s full name

FHBC # (If applicable)

Date of birth

Which age group is your child in?

U8/U10 — born 2016–2018

U12 — born 2014–2015

U14 — born 2012–2013

Older Players – Born 2008–2011

PARENT / GUARDIAN INFORMATION

Parent / Guardian 1 – Full Name

Parent / Guardian 2 – Full Name

Email Address 1

Email Address 2

Phone Number 1

Phone Number 2

Which phone number would you like us to use for the Panthers WhatsApp group?

Parent / Guardian 1

Parent / Guardian 2

Both

EMERGENCY CONTACT

Emergency Contact Name / Phone Number

Relationship to Player

HEALTH & SAFETY

Is there anything your child may need additional support with that you would like the coaches to be aware of? This could be related to communication, confidence, learning, behaviour, or anything else you feel would be helpful for us to know.

PHOTO & VIDEO PERMISSION

Photos and videos may be taken during practices, games, or team activities to share training, development, and team experiences. We will always respect each player’s comfort and, whenever possible, ask before including them in photos or videos. Content may include team activities as well as individual skill development, such as ball control, passing, or other training moments.

Do you give permission for photos or videos of your child to be taken and shared as part of Panthers team communications and social media? YES / NO

PROGRAM FEE CONFIRMATION

For U8–U14 players only:

Have you completed the $200 Junior Program fee?
YES Not yet Not applicable — Older Player

Thank you!
This information helps us get to know each player better and create a safe, supportive, and positive environment for everyone.