PLAYERS INFORMATION FORM
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example@example.com
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PARENT/GUARDIAN INFORMATION
Parent 1
Name
*
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*
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Email
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example@example.com
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PARENT/GUARDIAN INFORMATION
Parent 2
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Email
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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.?
*
Yes
No
In case of Emergency, Contact
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Relationship to Player
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Family Physician
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Hospital Preference
*
T-Shirt Size
*
SPORTS SELECTION
Available sports are listed below. Please select one sport that is currently open for registration.
*
Taekwondo
Spring Baseball
Easter Egg Hunt
Soccer
Bowling
Basketball
Fishing
Fall Baseball
Sports Banquet
Taekwondo Opens:
December 20, 2026 Last day: Jan. 31 ,2026
Taekwondo Registration, Register Here
*
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Month
-
Day
Year
Date
Spring Ball Opens
Feb 28, 2026, Last day: May 23, 2026
Spring Ball Registration, Register Here
*
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Month
-
Day
Year
Date
Easter Egg hunt Opens
Opens: March 21, 2026, Last day: April 11, 2026
Easter Egg Hunt Registration, Register Here
*
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Month
-
Day
Year
Date
Soccer Opens
May 16 2026, Last day: June 13 ,2026
Soccer Registration, Register Here
*
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Month
-
Day
Year
Date
Bowling Opens
May 30, 2026, Last Day: June 27, 2026
Bowling Registration, Register Here
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-
Month
-
Day
Year
Date
Do you want bumpers?
*
Yes
No
Dates of Attendance?
*
June 20th
June 27th
BOTH
Fishing Opens
September 12, 2026, Last Day: October 3, 2026
Fishing Registration, Register Here
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Month
-
Day
Year
Date
Do you need a fishing pole?
*
Yes
No
Do you need a tackle box?
*
Yes
No
Basket Ball Opens
Opens: July 11, 2026, Last Day: August 29, 2026
Basket Ball Registration, Register Here
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Month
-
Day
Year
Date
Fall baseball Opens
September 19, 2026, Last day: October 24, 2026
Fallbaseball Registration, Register Here
*
-
Year
-
Month
Day
Date
Sports Banquet Opens
September 19, 2026, Last Day: October 25, 2026
Sport Banquet Registration, Register Here
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-
Month
-
Day
Year
Date
Both Attended?
*
Yes
No
Do You Need a Jersey?
*
Yes
No
Previous Team?
*
Number of Guests Attending (Includes Athelete?
Medical Questions
Medication
*
Dosage
*
Frequency of Dosage
*
Insurance Carrier
*
Policy Number
*
Date
*
-
Month
-
Day
Year
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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