Thank you for your participation with NC Triad Field Hockey Club.  We are very excited to have you part of our field hockey community and aim to provide a safe and fun learning environment for all.  We are looking forward to a great season of field hockey!

NC Triad Field Hockey Club does not provide insurance protection for participants. Registration assumes full responsibility on the part of the registrant who agrees the following:

  1. As a participant or the parent/guardian of a participant in this field hockey camp/clinic/tournament/training program, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I or my ward may sustain as a result of participating in any and all activities connected with, or in any way associated with the activities of the program.
  2. I do hereby fully waive, release and discharge NC Triad Field Hockey Club, it’s officers, directors, managers, trainers, coaches, agents, representatives, employees and program board members from any and all claims for injuries, damages or loss which I or my ward may sustain or which may accrue to me or my ward arising out of, connected with, or in any way associated with the activities of this camp/clinic/tournament/training program.
  3. I further agree to indemnify, hold harmless, and defend NC Triad Field Hockey Club, it’s officers, directors, managers, trainers, coaches, agents, representatives, employees and program board members from any and all claims for injuries, damages or loss sustained by me or my ward arising out of, connected with, or in any way associated with the activities of this camp/clinic/tournament/training program.
  4. In the event of any emergency, I authorize club officials to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for me or my ward’s immediate care and agree that I will be responsible for payment of any and all medical services rendered.

Media Release: I further give my permission for the free use of the participants name and image in broadcast, telecast, or any other media account of any and all event/activities and for the promotional purposes of NC Triad Field Hockey Club including newsletter mailings.

Participant Name *
Participant Name
Participant Date of Birth *
Participant Date of Birth
Guardian Name *
Guardian Name
I HAVE READ AND FULLY UNDERSTOOD THE ABOVE PROGRAM DETAILS, WAIVER AND RELEASE OF ALL CLAIMS AND PERMISSION TO SECURE TREATMENT. (check box) *