MN SWISH Fall League 2023

Athlete Last Name*
Athlete First Name*
Gender*	Male Female
Date of Birth*
School*
2023-24 Grade*
Height*
2022-23 Level of Play*	Examples: 6B Travel, 9A School, JV, Varsity
Parent/Guardian #1 Name*
Parent/Guardian #1 Phone # (cell preferably)*
Parent/Guardian #2 Name
Parent/Guardian #2 Phone # (cell preferably)
Athlete Cell Phone
Home Street Address*
City*
Zip Code*
Email Address #1*
Email Address #2	You may include multiple email addresses--this will be the main form of communication regarding schedules, etc.
Email Address #3	You may include multiple email addresses--this will be the main form of communication regarding schedules, etc.
Do you have MN Swish Gray & Orange Jersey Tops (from Fall '21 or '22 or Spring '21, '22, '23) that you will be using?*	YES NO
Select Jersey Top Size, if answered NO to previous question:*
Jersey Number Preferences - Please List Top 3 Choices (example: 15,23,51)*	*not guaranteed to get one of your choices
Saturday Availability...Place a check in each date box that you are planning to play*	Sept 23 Sept 30 Oct 7 Oct 14 Oct 21 If you know you have a conflict on one of these, please leave unchecked, and we'll allow a sub/alternate to play that week
Parental Waiver *This portion must be filled out and agreed to by a Parent/Guardian*
Please list any current or prior medical concerns or allergies that Hoops Training/MN Swish should have knowledge of:*	If none, write 'none' or 'N/A'.
I authorize Hoops Training LLC employees to act in their best judgment in any emergency requirement of medical attention. I hereby release Hoops Training and the employees of the facility used in practices and games from any and all liabilities for any injury or illness incurred while participating in a MN Swish team event. I have no knowledge of any physical impairment that would be affected by the above named athlete participating in the MN Swish program.*	I authorize by typing (signing) my name in the above box. Must be signed by a Parent/Guardian.