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Return this form by January 26, 2010 to:

Jeanne Frevola
32 Sullivan Drive
Lake George, NY 12845

DIVISION (circle one):    Junior Varsity        Varsity


TEAM NAME: _________________________________________

(Please do not use school name or nickname)

TEAM SHIRT COLOR: __________________________________

(No uniforms or school logo shirts)

SHINGUARDS/SOCKS COLOR: __________________________

PERSON TO CONTACT: _________________________________

ADDRESS: _____________________________________________

_______________________________________________________

PHONE: _________________________________

EMAIL: __________________________________


ROSTER: (minimum of 6 players, maximum of 10)

NAMES:


1) _____________________________________

2) _____________________________________

3) _____________________________________

4) _____________________________________

5) _____________________________________

6) _____________________________________

7) _____________________________________

8) _____________________________________

9) _____________________________________

10) ____________________________________


Please include non-refundable check payable to:

Shenendehowa Field Hockey Booster Club

$150 per JV team
$150 per Varsity team

**Players who participated on a Varsity Field Hockey program during the 2009 season are not eligible to play in the Junior Varsity division.**

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Athlete Name: ___________________________________________

Date of Birth: ____________________

Parent/Gurdian Name(s): ___________________________________

Home Phone: ____________________

Work Phone: ____________________

Emergency Contact: _______________________________________

Phone: _________________________

Relationship: _____________________________________________

Hospital of choice in emergency: ______________________________

Required immunization dates:

Tetanus: _______________           Measles/Mumps/Rubella: ___________________

List any medications: __________________________________________________

Known Allergies: _____________________________________________________

Recent injuries, illness, and/or physical restrictions:  ____________________________

___________________________________________________________________

___________________________________________________________________

I hereby give my consent for my child to participate in all activities at the Shenendehowa Indoor Field Hockey Tournament.  I verify that she is physically able to participate in al activities. If necessary, I allow my child to be treated by an athletic trainer while attending the event.  I understand that the advance registration fee is non-refundable.


____________________________________________
Parent/Guardian Signature

____________________
Date


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The Shenendehowa Indoor Field Hockey Tournament does not provide primary insurance for its participants or spectators. If you are participating in this tournament and have no medical insurance, you must read and sign the recognition and acknowledgement of non-insurance below:



As the parent(s) or guardian(s) of ______________________________________, I am fully aware that the Shenendehowa Indoor Field Hockey Tournament does not provide primary Medical Insurance for its participants. I am prepared to accept responsibility for injuries or medical complications that may result from participation in this tournament.

____________________________________________

Parent/Guardian Signature

____________________
Date

** Please sign and return to your coach. This must be done prior to participation in the tournament. No exceptions will be made.



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1. Six players per side including the goalie.

2. Substitutions are unlimited. Exception-No subbing within the period from the award of a penalty corner until after it has been completed. If the substitution is made during play, the player coming off the court must exit before the sub may go on the court.

3. A goal is scored when the ball passes completely over the goal line from within the circle.

4. No hits are allowed. Stick and ball must be in contact at the start of the push pass and reverse sweep. A long pushing or sweeping stroke with the stick along the ground before making contact with the ball is not permitted. After making the push/sweep it is not permitted to follow through with the stick along the ground so that the ball is propelled directly at an opponent.

5. Dangerous play will be penalized.

6. The ball may not be lifted except as a shot on goal. An unintentionally raised ball (less than 10 cm-no higher than their shoe) is allowed unless an opponent is within playing distance, in the direct playing line or an unfair benefit has been gained.

7. On a free push, the opponents must be three meters away from the point of the push unless the ball is within three meters of the circle. In this case, all players must be three meters. The ball must be stationary.

8. On a defensive corner, only the goalie is allowed in the goal. All other defensive players must be on the opposite side of the hitter, outside the goal, and completely behind the endline.

9. When taking a penalty corner, the ball must travel outside the circle but does not need to be stopped before a shot at a goal. No subs are allowed during a penalty corner until after it has been completed.

10. A defensive sixteen yard push is taken whenever the ball goes over the endline, unless the defense intentionally plays or deflects the ball over the endline. In this case, a corner is awarded to the offense. The 16-yard push is taken inside of the circle.

11. All side walls are in play.

12. All players are required to wear mouthguards and shinguards.

13. On a center pass, the push may be played in any direction.

**These rules were taken from the FIH Indoor Hockey Rules but may have been

modified to fit the needs/safety of the participants in the Mohawk tournament.