You can register for our programs by downloading the registration forms and mailing them to the HAC office
with payment, or you can register and pay online using your credit card:
Register & Pay Online: 1. Fill out the registration form below 2. Click on the Pay Now link to pay by credit card
Player Registration:
Player Name:
* required
Mother's Name:
* required
Father's Name:
* required
Email address:
* required
Secondary Email:
Mailing address:
Mother's Cell #:
* required
Father's Cell #
* required
Date of Birth:
* required
School:
* required
Grade:
* required
Sex:
Siblings:
For Sibling Discount verification. Please submit one form
for each player.
Medical Insurance Company:
* required
Medical ID #:
* required
Medical Conditions:
Uniform/T-Shirt Size
Comments:
I hereby agree to the financial responsibility for my child's participation
in the selected programs. By checking the box below, I acknowledge that I will responsible for all applicable fees
and I understand that all monies paid toward the program(s) are non-refundable and nontransferable.
I hereby authorize the staff of Higgins Athletic Corporation and California Heat to act for me to their
best judgment in any emergency requiring medical attention and I hereby waive and release HAC and CA Heat from
any and all liability for injuries or illnesses incurred while participating in the program. I have no knowledge of any physical
impairment that would be affected by the above named player's participation in the program. I understand that I am required
to maintain and carry accident medical insurance coverage for the child listed on this application, and I verify that the
coverage information attached herewith is active, accurate and true. I also understand HAC and CA Heat retains the right
to use for publicity and advertising purposes photographs and or video of players taken during program events.
I have read and agree to the Release of Liability Authorization
Program(s) Selected:
Player Registration Payment
California HEAT * 15728 Blackhawk Street * Granada Hills * CA* 91344
