Harding Township Recreation Association
keeping sports fun for everyone
REGISTER
SPRING CLINIC
PLAYER
HARDING/MADISON RESIDENT?
Saturday 2–4pm (grades 2–4)
Sunday 1:15–3:15pm (grades 4–5)
Saturday 4:15–6:15pm (grades 5–8)
Sunday 11am–1pm (grades 6–8)
Sunday 3:30–5:30pm (grades 6–8)
please provide three distinct contacts

PRIMARY CONTACT is always contacted first, and will receive all email correspondence.

SECONDARY CONTACT will be called if we need to reach a parent or guardian, but the primary contact is unavailable.

EMERGENCY CONTACT should be a trusted friend or relative whom we can call in the unlikely event both primary and secondary contacts cannot be reached.

PRIMARY CONTACT
ADDITIONAL CONTACT
EMERGENCY CONTACT
PHYSICIAN

I give my approval to participation of my child in any and all activities of the Harding Township Recreation Association, including field hockey clinics, camps and leagues.

I assume all risks and hazards incidental to the conduct of the activities and transportation to and from the activities. I do further release, absolve, indemnify and hold harmless organizers, sponsors, its members, coaches or any of the supervisors appointed by them.

I likewise release from responsibility any person transporting my child to or from the activities relating to their participation.

I further give permission, in my absence, for the coach or other adult appointee to secure medical treatment for my child, and give consent for my child to be treated by a physician/EMT or taken to a hospital by the first aid squad in order to secure medical treatment.

PAYMENT
VISA, MC, AMEX, DISCOVER
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