Roster/Waiver Form

Please print out the following form to register your team for the upcoming Swoosh Tournament and mail it with payment. Thank you.

Swoosh Roster / Insurance / Waiver Form

Team name:

Tournament Date/Location

Division (circle one):

4th (10U) | 5th (11U) | 6th (12U)

7th (13U) | 8th (14U) | HS (HS)

Select Level of Competition:
Gold (Elite Teams)

Silver (Club Teams)

Bronze (Community or New Teams)

Gender (circle one):

Boys | Girls

Cell Phone:

Home Phone:

Work Phone:

Email Address:

First Name

Last Name

Jersey #

DOB

School

Grade

Parent or Coach Signature:

10.

11.

Coaches Name:

_{* I am the parent/legal guardian of the player listed to the left of my signature. I acknowledge that the player could suffer injury by participating in this Tournament. However, I consent to his/her involvement in this Tournament. The player has adequate personal health/injury insurance. I waive any claim against the Swoosh Basketball Organization/Mike Alexander/league directors if the player is injured while participating in this Tournament activity and I will hold them harmless from liability for such injury.* This roster should be submitted ASAP for entry into the Tournament program. This waiver is effective until August 31, 2013.}

Make Checks Payable to: Swoosh Basketball

Mail Check and Registration Form to:

Swoosh Basketball
P.O. Box 2686
Orcutt, CA 93457