Upper Arlington Women’s Field Hockey Website Consent Form

I give consent (or do not give consent) for my daughter to have her name, picture, and possibly a short biography on the Upper Arlington Women’s Field Hockey website at uabearsfieldhockey.com/.

Player Last Name *

Player First Name *

Player Team *
VarsityJVAJVB

Please mark the appropriate space below: *
I do give consentI do NOT give consent

Guardian's Name *

Guardian's Signature (Please draw your signature below) *