Sunday Morning SWISH FOR SUCCESS Program

Registration

Sunday Morning SWISH FOR SUCCESS Program
Athlete Information
Athlete's Name*

First NameLast Name
Grade*
School Name*
Uniform Size
Uniform Size*
Gender*

MaleFemale
Is athlete interested in travel team?*
Parent/Guardian Information
Name*

First NameLast Name
E-mail*
example@example.com
Cell Number*
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alternative Phone Number
Is the athlete prescribed an inhaler?*

YesNo
If yes, please explain any instructions.*
COST:

Sessions are $1 per min (minimum session is 60min) must sign up for 10 sessions $300 deposit required (non-refundable).

Payment Method Excepted:

Zelle - info@swishunited.org (in memo section place SFS Program)

Cash App - $SWISHUNITED (in memo section place SFS Program)
Confirmation

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by SWISH United, Inc, during the selected program. In exchange for the acceptance of said child’s candidacy by this organization. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless this organization. All its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected program sessions.

In case of injury to said child, I hereby waive all claims against SWISH United, Inc. Including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death.
E-Signature*

Clear
Should be Empty:

Registration

Athlete Information

Parent/Guardian Information

Emergency Information