PLAYERS INFORMATION FORM

PLAYERS INFORMATION FORM

Fill the form below and we will get back soon to you for more updates
Name

First NameLast Name
Date of Birth

DayMonthYear
Today's Date

MonthDayYear
Date
Age
Gender
Ethnicity
Area Code/ Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARENT/GUARDIAN INFORMATION

Parent 1
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Email
example@example.com
PARENT/GUARDIAN INFORMATION

Parent 2
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
Medical Release

The purpose of the below listed information is to ensure that medical personnel have details of the medical problem which may interfere with or alter treatment.
In case of emergency, if family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, E.R. Physician, etc.?
In case of Emergency, Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Player
Family Physician
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Hospital Preference
T-Shirt Size?
Available sports are listed below. Please select one sport that is currently open for registration.
SPORTS SELECTION
Taekwondo Opens:

December 20, 2026 Last day: Jan. 31 ,2026
Taekwondo Registration, Register Here

MonthDayYear
Date
Spring Ball Opens

Feb. 14  Last day: May 23, 2026
Spring Ball Registration, Register Here

MonthDayYear
Date
Easter Egg hunt Opens

Opens: February 14, 2026,  Last day: March 29, 2026
Soccer Opens

May 16 2026, Last day: June 13 ,2026 
Easter Egg Hunt Registration, Register Here

MonthDayYear
Date
Soccer Registration, Register Here

MonthDayYear
Date
Bowling Opens

May 30, 2026,  Last Day: June 27, 2026
Bowling Registration, Register Here

MonthDayYear
Date
Do you want bumpers?
Dates of Attendance?
Fishing Opens

September 12, 2026, Last Day: October 3, 2026
Fishing Registration, Register Here

MonthDayYear
Date
Do you need a fishing pole?
Do you need a tackle box?
Basket Ball Opens

Opens: July 11, 2026, Last Day: August 29, 2026
Basket Ball Registration, Register Here

MonthDayYear
Date
Fall baseball Opens

September 19, 2026, Last day: October 24, 2026
Fallbaseball Registration, Register Here

YearMonthDay
Date
Sports Banquet Opens

September 19, 2026,  Last Day: October 25, 2026
Sport Banquet Registration, Register Here

MonthDayYear
Date
Both Attended?
Do You Need a Jersey?
Previous Team?
Previous Team?
Number of Guests Attending (Includes Athelete?
Medical Questions
Medication
Dosage
Frequency of Dosage
Insurance Carrier
Policy Number
Date

MonthDayYear
Date
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

1. In consideration for participating in Adaptive Sports for Kids and other valuable consideration, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Adaptive Sports for Kids, Inc., the Board of Directors, their officers, servants, agents, and employees (hereinafter referred to as RELEASES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted or in transportation to and from said premises.
2. To the best of my knowledge, I can fully participate in this activity. I am fully aware of risks and hazards connected with the activity, including but not limited to the risks as noted herein, and I hereby elect to voluntarily participate in said activity, and to enter the above-named premises and engage in such activity knowing that the activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such activity, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise.
3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASEES from any loss, liability, damage or costs, including court costs and attorney's fees, that may incur due to my participation in said activity, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise. 4. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assigns and personal representative, if I am not alive, shall be deemed as a RELEASE, WAIVER, DISCHARGE AND CONVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Texas.
4. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assigns and personal representative, if I am not alive, shall be deemed as a RELEASE, WAIVER, DISCHARGE AND CONVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Texas.
3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASEES from any loss, liability, damage or costs, including court costs and attorney's fees, that may incur due to my participation in said activity, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise. 4. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assigns and personal representative, if I am not alive, shall be deemed as a RELEASE, WAIVER, DISCHARGE AND CONVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Texas.
Signature
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PLAYERS INFORMATION FORM

PARENT/GUARDIAN INFORMATION

PARENT/GUARDIAN INFORMATION

Medical Release

In case of Emergency, Contact

Family Physician

SPORTS SELECTION

Taekwondo Opens:

Spring Ball Opens

Easter Egg hunt Opens

Soccer Opens

Bowling Opens

Fishing Opens

Basket Ball Opens

Fall baseball Opens

Sports Banquet Opens

Medical Questions

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

In order to register you must sign up for Remind, Text Message Alerts!