2020 Southwest Slam Registration

Athlete Name*

Gender*

Male Female

Date of Birth*

School*

2019-20 Grade*

Height*

2019-20 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)

Address (street, city, zip)*

Email Address #1*

You may include multiple email addresses--this will be the main form of communication regarding schedules, etc.

Email Address #2

Email Address #3

Jersey Top Size:*

Shorts Size*

Jersey Number Preferences - Please List Top 4 Choices (example: 15,23,51,3,31)*

*not guaranteed to get one of your choices

Undershirt/Alternate Jersey Type*

Sleeveless Short Sleeved

Similar to a Nike Dri-Fit Type Shirt

Undershirt Size*

Tournament Weekend Availability (check all that you can make)*

April 18-19

April 25-26

May 2-3

May 9-10

May 16-17

May 30-31

June 6-7

Practice dates to avoid:

Can also bring or email conflicts to help set a practice schedule

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/SW Slam 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 SW Slam team event. I have no knowledge of any physical impairment that would be affected by the above named athlete participating in the SW Slam program.*

I authorize by typing (signing) my name in the above box. Must be signed by a Parent/Guardian.