Athletic League Registration Form

Athletic League Registration Form

Please complete this form to register for our athletic league.

Personal Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Email

          Phone Number

            Address

              Emergency Contact

              Name

                Phone Number

                  Athletic Interests

                  Event(s) or Sport(s) of Interest

                  Check all that apply

                    • Track (Sprints)

                    • Track (Long Distance)

                    • Field Events (Long Jump, High Jump, etc.)

                    • Basketball

                    • Soccer

                    • Volleyball

                    Skill Level

                      Age Group

                        • Youth (5-12 years)

                        • Teen (13-18 years)

                        • Adult (19+ years)

                        Preferred Practice 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 consent to participate in the athletic league organized by [Your Company Name]. I understand that athletic activities involve physical exertion and potential risk of injury. I release [Your Company Name] from any liability for injuries that may occur during league activities. Additionally, I authorize [Your Company Name] to seek emergency medical treatment if necessary.

                                Signature

                                Name:

                                Date:

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