Indoor candidates who attended the indoor certification clinic in Fall 2017 should attend Part 1 only
New candidates need to attend one EACH of a Part 1 and a Part 2
PART 1 (The Rules): Tues., May 8th or Thurs., May 17th or Tues., June 19th
PART 2 (How to Umpire): Thurs., May 10th or Tues., May 15th or Thurs., June 21st
All sessions are from 6:30-9:30pm
WHERE: 1000, 15 Sunpark Plaza SE, Suite 200 (Chandos Construction Boardroom)
HOWMUCH: $50 for Part 1 + Part 2 (Payable to CLFHA); $30 for Part 1 only
Umpire Shirt: $45 (Payable to CLFHA)
Course Conductor: Keely Dunn
If you are unable to attend these in-person clinics, there are now online versions of the courses, available may be available at http://fhumpires-university.teachable.com/. Pricing for the online versions is $80 for certification, $40 for re-certification.
Calgary Ladies’ Field Hockey Association www.clfha.com
Street AddressCityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal Code
Date of Birth (dd/mm/yy)*
Parent’s/Guardian’s Consent Athletes Under 18
I hereby consent to my child participating in the Field Hockey Alberta provincial program registered here. By checking the box directly below this form and permitting my son/daughter to participate in this program, I as the parent/guardian, and on behalf of the child, agree to release and hold without liability the FHA, CLFHA, FHAC and CJP, its agents, volunteers, Board of Directors and employees, from any and all claims for damages or bodily injuries arising out of participating in this field hockey program. I understand that the coaches and managers are not responsible for my child/ward before or after the game or practice. Therefore if I or another adult of my choosing is not at the field before or after game or practice time it is understood that this means that my child/ward has permission from me to leave the field of play / facility on their own. I also understand and grant permission that my child’s picture of participating in FHA activities may appear on FHA website and advertising. FHA may contact me regarding this program or future programming. *
I, the athletes parent/guardian hereby consent
Parent 2 Name
Parent 2 Email
Parent 2 Phone
Emergency Contact Name*
Emergency Contact Primary Phone*
Emergency Contact Secondary Phone
Relationship to Emergency Contact*
Emergency Contact 2 Name
Emergency Contact 2 Primary Phone
Emergency Contact 2 Secondary Phone
Health Care Number*
Family Doctor’s Name
Family Doctor’s Primary Phone
List of Allergies
Please indicate any previous injuries/conditions/diseases that may hinder performance (i.e., torn ACL, Concussion, ADD, Diabetic, etc.)
Please check box to acknowledge that in the event that the parent or guardian is not available during a medical emergency, consent is given for the team manager or coach to sign on behalf of the athlete*
Athlete Code of Conduct
All members of Field Hockey Alberta provincial teams will conduct themselves in an orderly manner and will not discredit or dishonor the FHA or FHA in any way.
All members will consider themselves to be ambassadors for FHA specifically and the sport of field hockey in general, as well as the province of Alberta and Canada.
As a members of the Field Hockey Alberta provincial team you will not partake in any illegal action, e.g.
Consume illegal substances
Consume alcohol if under age
Consume alcohol without coach and/or manager’s approval
While traveling to/from and attending tournaments and matches all members will abide by pre-set curfews and other regulations, which may be set by the coach, manager, or FHA staff including the High Performance Coach, e.g. Travel uniforms.
All athletes shall respect the coaches, chaperones, officials and managers at all times.
When travelling to and from tournaments, all team members will travel together, except in extenuating circumstances when a parent or guardian provides a letter of consent.
Not abiding by the code of conduct will be cause for dismissal and possible suspension.
I have read and agree to abide by the ‘code of conduct’*
Occasional volunteer - (call me when odd jobs come up)
It is with great sandess we announce the passing of Mr. Shahzad Butt a respected member of our field hockey community and leader with the Kings XI hockey club. Our thoughts are with his family during this difficult time.
Field Hockey Alberta is hosting a FREE NCCP coaching clinic March 17 & 18. Anyone can attend the session to gain coaching knowledge or even just to learn more about field hockey! Please view the attached flyer from our VP of Coaching for more details.
You need to attend one EACH of a Part 1 and a Part 2
PART 1: Tuesday, October 10, 2017 … 6:30pm – 9:30pm (with breaks) – The Rules PART 2: Thursday, October 12, 2017 … 6:30pm – 9:30pm (with breaks) – How to Umpire
PART 1: Tuesday, January 16, 2018 … 6:30pm – 9:30pm (with breaks) – The Rules PART 2: Thursday, January 18, 2018 … 6:30pm – 9:30pm (with breaks) – How to Umpire
WHERE: 4303 – 11 St. SE
HOWMUCH: $50 (Payable to CLFHA) Umpire Shirt: $40 (Payable to CLFHA)
Course Conductor: Keely Dunn
If you are unable to attend these in-person clinics, there are now online versions of the courses, available at http://fhumpires-university.teachable.com/. Pricing for the online versions is $80 for certification, $40 for recertification. TO REGISTER