Membership Registration

Membership is $50 per person (or) $100 per family monthly.
Fees apply to both children and adults.
Family memberships can apply to any children under the age of 18 and/or adults living within the same household.
Memberships can be cancelled any time - with prorated refund on annual payments.

How many adults (parents/guardians) would you like to register as members?*

0

1

2

How many children would you like to register as members?*

0

1

2

3

4

Payment Options

Total Registrants

Individual Membership - Please choose your payment option*

Annually Individual

Monthly Individual

Family Membership - Please choose your payment option*

Annually Family

Monthly Family

Important Note on Refunds:

Monthly payments are executed automatically using your credit card. Payments cover the calendar month following, i.e, a payment made June 12 covers from June 12 until August 11. You may cancel your membership at any time; however monthly payments are nonrefundable.
Annual payments are executed automatically using your credit card. Payments cover the calendar year following, i.e, a payment made June 12 covers from June 12 until June 11 of next year. You may cancel your membership at any time. Refunds are calculated on a monthly basis, with free months considered to be the final months of your paid term. For example, cancellation submitted October 20th after a June 12 registration would receive credit for 6 months of fees (4 used, 6 remaining, and final 2 considered free.)
To cancel your membership, please send an email indicating your intent to phxhockeyclub@gmail.com

Individual Membership (monthly payment)

Covers 1 full month of hockey
Payment will process automatically on a monthly basis until cancelled.

Price:

Individual Membership (annual payment)

Covers 1 full year of hockey
2 Months FREE ($100 savings)
Payment will process automatically on the anniversary of your registration until cancelled.

Price:

Family Membership (monthly payment)

Covers 1 full month of hockey
Payment will process automatically on a monthly basis until cancelled.

Price:

Family Membership (annual payment)

Covers 1 full year of hockey
2 Months FREE ($200 savings)
Payment will process automatically on the anniversary of your registration until cancelled.

Price:

Non-Member - Parent/Guardian Details

First name*

Last name*

Email*

Phone*

Birthdate*

Address*

City*

State*

Zip*

Primary Member - Parent/Guardian Details

First name*

Last name*

Primary Hockey Experience

Email*

Phone*

Birthdate*

Address*

City*

State*

Zip*

Spouse - Membership Details

First name*

Last name*

Spouse Hockey Experience

Email*

Phone*

Birthdate*

Address*

City*

State*

Zip*

Emergency Contact

In case of emergency and if I (or spouse if applicable) cannot be reached, please contact:

Full name*

Phone*

Child 1 - Membership Details

First name*

Last name*

Gender*

Birthdate*

Shirt Size*

Ch 1 Experience*

Email (if different from Primary Member)

Relationship*

This field is hidden when viewing the form

Child 1 Full Name

Child 2 - Membership Details

First name*

Last name*

Gender*

Birthdate*

Shirt Size*

Ch 2 Experience*

Email (if different from Primary Member)

Relationship*

Child 3 - Membership Details

First name*

Last name*

Gender*

Birthdate*

Shirt Size*

Ch 3 Experience*

Email (if different from Primary Member)

Relationship*

Child 4 - Membership Details

First name*

Last name*

Gender*

Birthdate*

Shirt Size*

Ch 4 Experience*

Email (if different from Primary Member)

Relationship*

Phoenix Field Hockey Club Waiver & Release of Liability

Please review the Phoenix Hockey Club Waiver & Release of Liability and indicate your approval/agreement prior to proceeding:

Waiver applies to all listed participants

I DO NOT AGREE to the Phoenix Hockey Club Waiver & Release of Liability for all listed participants

I AGREE to the Phoenix Hockey Club Waiver & Release of Liability for all listed participants

Full Name*

Waiver date

Signature*

Payment Summary

Individual Membership (monthly payment)

Includes:
Weekly weekday practice
Weekly weekend game
Experienced coaching staff
Rules & strategy
Equipment for beginners
Preferred access to all teams & programming

Covers 1 full month of hockey
Payment will process automatically on a monthly basis until cancelled.

$50 per month

Individual Membership (annual payment)

Includes:
Weekly weekday practice
Weekly weekend game
Experienced coaching staff
Rules & strategy
Equipment for beginners
Preferred access to all teams & programming

Covers 1 full year of hockey
Payment will process automatically on an annual basis until cancelled.

$500 per year

Family Membership (monthly payment)

Includes:
Weekly weekday practice
Weekly weekend game
Experienced coaching staff
Rules & strategy
Equipment for beginners
Preferred access to all teams & programming

Covers 1 full month of hockey
Payment will process automatically on a monthly basis until cancelled.

$100 per month for your family

Family Membership (annual payment)

Includes:
Weekly weekday practice
Weekly weekend game
Experienced coaching staff
Rules & strategy
Equipment for beginners
Preferred access to all teams & programming

Covers 1 full year of hockey
Payment will process automatically on an annual basis until cancelled.

$1000 per year for your family

This field is hidden when viewing the form

Children?

Total Payment Due Now:

Submit Payment*

Credit Card Details

Cardholder Name

Payment Options

Non-Member - Parent/Guardian Details

Primary Member - Parent/Guardian Details

Spouse - Membership Details

Emergency Contact

Child 1 - Membership Details

Child 2 - Membership Details

Child 3 - Membership Details

Child 4 - Membership Details

Phoenix Field Hockey Club Waiver & Release of Liability

Payment Summary

Individual Membership (monthly payment)

$50 per month

Individual Membership (annual payment)

$500 per year

Family Membership (monthly payment)

$100 per month for your family

Family Membership (annual payment)

$1000 per year for your family

Quicklinks

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