Swish Atlanta Summer Registration Form

Summer Registration Form

(Temporary System)
We are transitioning to a new, more robust and user friendly registration system. In the interim, we will use this form to cover registration for the next couple of weeks. We appreciate your patience in this matter!
PLEASE NOTE: This DOES NOT impact any of our programs being offered through the Forsyth County Parks & Recreation system! Their registration system remains open.

Questions?
Bill Formella
770-995-0198
bformella@swishatlanta.com
Player Name

First NameLast Name
Rising 5thRising 6thRising 7thRising 8thRising 9thRising 10thRising 11thRising 12th
Player Date of Birth
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone (Required for Emergency Use)
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
SGB Competitive Evaluation (Wednesday, July 16th @ Old Atlanta Park, Suwanee)SGB Competitive Evaluation (Thursday, July 17th @ Gwinnett HBC, Lawrenceville)SGB Competitive Evaluation (Monday, July 21st @ Fowler Park, Cumming)SGB Competitive Evaluation (Wednesday, July 23rd @ Old Atlanta Park, Suwanee)SGB Competitive Evaluation (Thursday, July 24th @ Gwinnett HBC, Lawrenceville)
SGB Competitive (Mondays @ Fowler Park Recreation Center, Cumming)SGB Competitive (Tuesdays @ Gwinnett Hall Baptist Church, Lawrenceville)SGB Competitive (Wednesdays @ Old Atlanta Park Recreation Center, Suwanee)SGB Competitive (Thursdays @ Gwinnett Hall Baptist Church, Lawrenceville)
CashCash AppCheckPayPalVenmoZelle
Swish Atlanta Participation Waiver & Medical Release!

I hereby grant permission for my child to participate in Swish Atlanta, LLC basketball programs. As the parent and/or guardian of this child, or as a participant myself, I assume all risks and hazards of participation. I waive, absolve, indemnify and agree to hold harmless Swish Atlanta, the facility owners, affiliated associations, organizers, officers, directors, coaches, managers, parents, and participants from any and all claims. I also grant permission to the program organizers to act on my behalf to obtain medical services for my child in case of a medical emergency or injury. I or my medical insurance provider will be responsible for any and all costs of medical attention and treatment. By electronically or physically signing below, I certify that I have read and agree to the above conditions.
Parent Guardian Name

First NameLast Name
Signature

Clear
Any Additional Comments, Concerns, Suggestions, Questions?
Should be Empty: