For full functionality of this site it is necessary to enable JavaScript. Here are the instructions how to enable JavaScript in your web browser.

ADM Clinics Registration
If you are a current or former member of USA Field Hockey,
please click here to login and sign up for this event.
 
Registration

Member Information

Waiver

Confirm & Checkout
 
LA3 Memorial Field Hockey Clinic
Sunday, June 19, 2022 (12:00 PM - 2:30 PM)
Proving Grounds
707 Conshohocken Road
Conshohocken, PA  19428
:USA Field Hockey
5540 North Academy
Colorado Springs, CO  80918
 View Event Details
RegistrationPrice
Larry Amar (LA3) Memorial Field Hockey Clinic$145.00  
Individual Information
*Name   
*Address
Address 2
*City
*State
*Zip
*Country
*Birth Date (mm/dd/yyyy)
*Gender
*Email
Preferred Phone
*Cell Phone
Additional Information
*Current Grade
*School Name
League/Club/Program (if applicable)
*Shirt Size
*Height
*Stick Size (size chart)
Parent/Guardian Information
Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Phone
Emergency Contact Information
*Contact Name
Contact Home Phone
Contact Cell Phone
Contact Work Phone
Contact Email
Create a Login Account
Please select a User Name and password you can easily remember for this system.
Passwords must be at least 8 characters, and usernames and passwords cannot contain the following symbols: ; < > =
*User Name
*Password  (0 characters)
*Confirm Password  (0 characters)
*Security Question
*Security Question Answer