PHMFA Spring Clinic Form

This FORM must be filled out by all non members participating in the PHMFA Spring Clinic Series

MEMBER/Players/Cheerleaders Full Name -

Members Preferred Name -

Childs age as of May 1st 2026 -

Month

Day

Year

Childs Address

Parent/Gaurdian Name

Parent/Gaurdian Mobile Number

Please list all Participating Siblings with Same address

I agree to join the PHMFA app on SPACES to stay up to date with seasonal information. https://www.thephmfa.com/app-teams

Download on the GOOGLE or APPLE Play Store

App Profile Account Name

I have read and agree to the PHMFA Bylaws https://www.thephmfa.com/phmfa-bylaws

I have read and agree to the Terms of the PHMFA Zero Tolerance Policy https://www.thephmfa.com

I have read and understand the PHMFA FAQ page.https://www.thephmfa.com/faq

I give consent for the PHMFA to take Photo & Video of my child for use by the PHMFA.