Sports Organization Online Registration Form

Sports Organization Online Registration Form

Please fill out this form to register with our sports organization.

Personal Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Email

          Phone Number

            Address

              Emergency Contact

              Name

                Phone Number

                  Program Selection

                  Sport(s) of Interest

                  Check all that apply

                    • Soccer

                    • Basketball

                    • Baseball

                    • Tennis

                    • Swimming

                    • Volleyball

                    Preferred Skill Level

                      Preferred Age Group to Coach

                        • Youth (5-12 years)

                        • Teen (13-18 years)

                        • Adult (19+ years)

                        Preferred Training Schedule

                          • Weekdays

                          • Weekends

                          • Flexible

                          Health Information

                          Do you have any pre-existing medical conditions?

                          If yes, please specify:

                            Any allergies or special needs we should be aware of?

                            If yes, please specify:

                              Do you currently take any medication?

                              If yes, please specify:

                                Waiver & Consent

                                • I hereby consent to participate in programs offered by [Your Company Name]. I understand that sports activities involve physical exertion and carry inherent risks. I release [Your Company Name] from any liability for injuries or accidents that may occur. I authorize [Your Organization Name] to seek medical treatment in case of an emergency.

                                Signature

                                Name:

                                Date:

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