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Participant Info
Child's Name
(Required)
First
Last
Child's Grade
(Required)
7
8
9
10
11
Child's Gender
(Required)
Child's Birthdate
(Required)
MM slash DD slash YYYY
Child's Height
(Required)
Child's Weight
(Required)
Child's T-Shirt Size (please pick one)
(Required)
YS
YM
YL
AS
AM
AL
Interested in Coaching?
(Required)
Yes, I can help coach!
Not interested
Two Coaches needed per team
Coach T-Shirt Size
S
M
L
XL
XXL
XXXL
pick one only if interested in coaching
Coach's Email
Player/Coach Request (Only One)
Parent / Guardian Info
Guardian Name #1
(Required)
First
Last
Phone
(Required)
Guardian Name #2
First
Last
Phone
Primary Home Address
(Required)
Street Address
Address Line 2
City
State
ZIP / Postal Code
Primary Email
(Required)
Waiver of Liability
(Required)
I agree to the liability policy.
I, the above named candidate for participation in the above named activity, hereby waive any claim for bodily injury or property damage against the Hempfield recCenter. its agents, servants and/or employees while a participant in the above named activity. I also permit the Hempfield recCenter to use any photographs or videotape of me or my child(ren) for promotional purposes.
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Home
Programs by Age
Kids
Teens
Adults
Seniors
Departments
Aquatics
All Aquatics Programs
Pool Policies
Pool Schedule
Fitness & Wellness
All Fitness Programs
Group Exercise
Personal Training
Senior Group Exercise
Small Group Training
Pickleball
Pickleball Clinics
Pickleball Gameplay
Seniors
Pool Schedule
Senior Group Exercise Schedule
Senior Snippets
Tennis
Adult Tennis
Junior Tennis
Court Appeal Pro Shop
Reserve a Court
Special Events
Tennis Schedule
Landisville Pro Circuit
Youth & Family
Day Camp Registration
Before & After School Care Registration
Summer Playground Registration
Childcare
Youth Dance
Youth Sports
Adult Sports
Community
Parks & Pavilion Rentals
Programs & Events
The recCenter
About Us
Blog
Contact Us
Everyone Belongs
Join Our Team
Photo Galleries
Membership