MN SWISH Fall League 2024

Athlete Last Name*
Athlete First Name*
Date of Birth*
School*
2024-25 Grade*
Height*
2023-24 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 a MN Swish Spring 2024 Jersey Top that you will be using?*	YES NO
If answered NO above, Select Jersey Top Size:*
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 21 Sept 28 Oct 5 Oct 12 Oct 19 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.