2025 REGISTRATION FORM
ONE FORM REQUIRED PER CALENAR YEAR
SWING! HOMERUNS SHIP ON THE LAST DAY OF EACH MONTH. REGISTRATION FORMS MUST BE RECEIVED BY THE 25TH TO QUALIFY. NATIONWIDE SHIPPING AVAILABLE. ESTIMATED DELIVERY TIME IS 5-7 BUSINESS DAYS. PLEASE NOTIFY US IMMEDIATELY IF YOUR ADDRESS CHANGES.
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Aknowledge
First Name
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Last Name
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Birth Date
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Ethnic Origin
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Please Select
Do Not Wish to Answer
Black or African American
Native American or Alaska Native
Native Hawaiian Samoan or Pacific Islander
Hispanic, Latino or Spanish
Asian
White
Other
Address
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City
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State
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E-mail
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Phone Number
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I am the head of my household.
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Agree
How Many All-Star Kids Do You Have? (Under Age 18)
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Please Select
1
2
3
4
5
6
7
8
9
10
I give consent to be contacted via the following: Phone Call/Text/Email
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Agree
I give consent for SWING! Foundation Inc. to provide my contact information to resource providers within their network, if my needs are outside their capabilities.
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Agree
I understand that SWING! Homeruns are provided for (3) consecutive months per calendar year, and to re-apply for the following year, I will be asked to complete the on-line financial literacy course available via the SWING! Foundation, Inc. website.
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Agree
WE grant permission to SWING! Foundation, Inc. hereinafter known as the ‘Media’ to use our images (photographs and/or video) for use in Media publications including: Videos, Email Blasts, Event Planning, Newsletter, Magazines, Social Media, General Publications, Website and/or Affiliates. WE hereby waive any rights to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known or unknown, and WE waive any rights to royalties or other compensation arising from or related to the use of the image in conjunction with them now or in the future, whether that use is known or unknown to us. (WE refers to the applicant listed above and minors in her care.)
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Agree
Waiver & Release of Liability
PLEASE READ CAREFULLY. THIS IS A LEGALLY BINDING DOCUMENT.
I agree to the following for myself, and all of the participants named above: To the maximum extent allowed by law, to release and discharge SWING! Foundation, Inc., its officers, staff and volunteers, from all claims, liabilities, and losses asserted by or on behalf of me in any way arising from or connected with our participation in SWING! All-Star Activities, the use of its equipment and facilities. I understand that by signing this document, I surrender our right to make a claim or file a lawsuit against SWING! Foundation, Inc. its officers, staff and volunteers for personal injury, illness, property damage, wrongful death, products liability or any other theory, to the maximum extent allowed by law. I further agree to hold harmless and indemnify (that is, defend and pay or reimburse) SWING! Foundation, Inc., its officers, staff and volunteers from any claim and from any liability, loss, damages or expenses (including attorneys’ fees and insurance deductibles) resulting from 1) a claim brought by a participant or any other person for loss or damage caused by my acts or missions; and 2) a claim brought by me in any way arising out of my participation in an activity sponsored by SWING! Foundation, Inc., the use of equipment and facilities. In the event that I should require medical care or treatment, I authorize SWING! Foundation, Inc., its officers, staff or volunteers to seek immediate medical attention and I agree to be financially responsible for any costs incurred as a result of medical attention or treatment. I am aware and understand that I should carry my own health insurance. I have carefully read, understand and voluntarily agree to this agreement and acknowledge that it shall be effective and binding upon me, and those I have named above.
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Agree
Signature
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SUBMIT
SUBMIT
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