EmailMe Form - STRAPS Athlete Registration Form

Please Indicate which STRAPS program(s) you are interested in registering for.

Boccia

Yes

Spurs Adult Basketball

Yes

Junior Wheelchair Basketball

Yes

Goalball

Yes

Power Soccer

Yes

Track & Field

Yes

Sit Volleyball

Yes

Wheelchair Football

Yes

Wheelchair & Ambulatory Pickleball

Yes

Wheelchair Rugby

Yes

Wheelchair & Ambulatory Tennis

Yes

Wheelchair Softball

Yes

Wheelchair Soccer

Yes

Functional Fitness

Yes

Athlete Information

Athlete Name *

First Last

Date of Birth *

MM / DD / YYYY

Gender *

Male

Female

Address *

Street Address City State / Province / Region Postal / Zip Code

Athlete Email *

Confirm

Phone (cell) *

### - ### - ####

T-shirt size *

How did you hear about the STRAPS program? *

What other adapted sports experience do you have? *

Military Service Affiliation

Armed Services Member? *

Yes

No

Branch of Service

Current Status

Active Duty

Retired

Not Applicable

Parent Information (if registered athlete is under 18 years of age)

Parent Name

Parent Email

Parent (cell)

### - ### - ####

Medical Information

Which assistive mobility device(s) do you use? *

Disability and/or level of injury *

(Please describe)

Please describe disability *

Date of onset *

MM / DD / YYYY

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Emergency Contact Name *

Relationship to Emergency Contact *

Emergency Contact Phone *

### - ### - ####

Do you (your child) have any allergies or medical precautions that would affect participation? *

(Please describe)

STRAPS Release of Liability Waiver

I, or the parent/guardian of the athlete or volunteer, a minor, agree to abide by the rules of STRAPS, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with sports participation and accepting STRAPS for its soccer programs and activities. I hereby release, discharge and/or otherwise indemnify STRAPS, Morgan’s Wonderland its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the athlete or volunteer as a result of the athlete’s participation in the STRAPS Programs.

Photo Release
I, or the parent/guardian of the athlete or volunteer, give permission to be photographed or video tapped for use in promotional and/or marketing materials for the STRAPS program.

Consent for Minor Medical Treatment
I, or the parent or legal guardian of the above-named athlete/volunteer, hereby gives consent for emergency medical care prescribed by a duly licensed Doctor of Medicine. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of myself or my dependent.

Athlete Signature (Parent or Guardian if athlete is under 18 years old) *

Clear

Use your mouse (if on a computer) or finger (if on a smart device) to sign the above Liability Waiver.