Team Swish

Team Swish Registration:

First Name:

Last Name:

Father's Name:

Father's Phone #:

Mother's Name:

Mother's Phone #:

Birthday:

Height

Parent /

Guardian E-Mail:

Street Address:

City:

State:

State:

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I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules and regulations of the Team Swish Basketball Program. Recognizing the possibility of physical injury associated with basketball. I hereby release, discharge and/or otherwise indemnify Team Swish Basketball Program, Its officials, coaches, referees and all other persons entities involved WO team/program operations, against any claim by or on behalf of the registrant as a Result of the registrant participation in the programs and/or being transported to or from the same, which transportation I hereby authorize. 

I agree to the terms above

Zip Code:

School Name:

Grade as of

September:

Parent / Legal

Guardian Name:

Date Agreed

908-902-4635

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