Summer 2017 Skills Training Registration

Spring Ball Registration

Athletes Name

First Name

Last Name

Athletes Birthday

YYYY

Athletes Phone

(###)

###

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Email Address

Athletes Email Address

Mother's Name

First Name

Last Name

Father's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Phone

(###)

###

####

Mother's Email

Father's Phone

(###)

###

####

Father's Email

Emergency Contact Information

Please include name & phone number of emergency contact. Include any medication athlete carries with them, allergies or other.

Insurance Information (Include insurance carrier, policy number, ID number & submit a copy front & back at the first practice)

Release Form

I/we, the parents of the above named athlete, hereby give my/our permission and approval for participation in an athletic program under the direction of Coach Gentry and the South Austin Warriors. I give Coach Gentry's staff permission to contact emergenncy medical attention if needed for my son/daughter. All medical cost will be paid by the responsible parent. I/we, give permission for our athlete to be photographed while he/she is attending or participating in any Warrior programs for publication use for website, advertising, newsletters.

I agree with the above statement. Type your first and last name

Summer Skills Training Registration Form

Summer 2017 Skills Training Registration

South Austin Warriors