2017-2018 Registration Form

Required for application to be accepted – check one:
Program Program Fee
Learn2Play New to Field Hockey – U8, U10, U12
Mondays starting May 7 - June 25 Fleming College East
5:00pm - 6:00pm
Includes Stick & Ball
Junior Mavericks – U12, U15
Mondays starting April 23 – July 30 Fleming College East
6:00pm – 8:00pm

Thursdays starting April 26 – August 2
8:00 – 9:00pm
$350.00 + online Field Hockey
Ontario (FHO) online Registration
Senior Mavericks – U18 U23
Mondays starting April 23 – July 30
$350.00 + online Field Hockey
Ontario (FHO) online Registration

I hereby agree, as a member of Field Hockey Ontario (FHO) and Maverick Field Hockey Club (MFHC):

  • TO RELEASE FHO and MFHC, event organization bodies, sanctioning bodies and FHO and MFHC sponsors and their respective directors, officers, employees, agents, contractors, representatives, successors or assigns (collectively the “Releasees” from any liability for any loss, damage, injury or expense (collectively “Loss”) that I may suffer as a result of my participation in any FHO and/or MFHC program, due to any cause. Including negligence or breach of contract;
  • TO WAIVE ANY CLAIM that I may have or may have against any or all of the “Releasees” regarding any matter, including without limitation, any claim arising out of any FHO and/or MFHC program;
  • TO INDEMNIFY THE RELEASEES from any and all claims, actions or Loss resulting in any way from my participation in FHO and/or MFHC programs;
  • THIS DOCUMENT SHALL bind my heirs, executors, administrators, assigns, and representatives and will have effect throughout my membership in FHO and MFHC, and, to the extent reasonably necessary to give it effect, thereafter;
  • THAT I am physically fit to participate in any FHO and/or MFHC programs;
  • THAT FHO and MFHC are authorized to take and use photos of me for publicity and promotional purposes only.
  • I hereby acknowledge and agree that FHO and MFHC may use and disclose the information on this form to enable FHO and MFHC to provide membership benefits to all FHO and MFHC members.
  • THAT membership in FHO and/or MFHC may be suspended or withdrawn in accordance with the provisions of the Code of Conduct and Bylaws of FHO and/or By-laws of MFHC.

By submitting this form, I acknowledge having read, understood and agree to the above Waiver, Release and Indemnity.