Returning Athlete Registration
If you have previously registered for any Seattle Adaptive Sports programs, please fill this form in. If you have never registered for a program at Seattle Adaptive Sports, please go back to the membership page and fill in the New Athlete Registration.
Email
*
example@example.com
Athlete Information
Please complete all required fields
Person completing this form
*
Adult Athlete (Age 18+)
Minor Athlete (Under age 18)
Parent/Guardian of Minor Athlete
Other
Name
*
First Name
Last Name
Nickname
Gender
*
Female
Male
Non Binary
Prefer Not to Answer
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
Information Updates
Below you will find questions about your previously entered information. If you have any changes to add, please enter them in the appropriate field.
Has your emergency contact information changed? If so, please tell us below. If not, please type N/A.
*
Has your school or employment information changed? If so, please tell us below. If not, please type N/A.
*
Please list any changes to medications, allergies, or any new medical changes relevant to participation in SAS programs (such as changes to assistive devices, assistance needs, new implanted devices, etc). If no changes, type N/A.
*
Please list any changes to your disability information. If no changes, type N/A.
*
Please list any changes to your disability information. If no changes, type N/A.
*
Consent to Treat
Permission is given to Seattle Adaptive Sports or competition organizing committee to seek medical care in case of emergency for the athlete named in this profile
*
Yes
No
Sports Information
What sports will you participate in this season?
*
Wheelchair Basketball
Sled Hockey
Power Soccer
Goalball
Your sports classification (if known)
Waivers and Forms
Please read the liability waiver here: http://nebula.wsimg.com/6a9d5e5b293a42d3f53c196e695eaf7e?AccessKeyId=FE260DB0078FD9887AF2&disposition=0&alloworigin=1 Please review the team policies here: http://nebula.wsimg.com/6728f5666b5014e42c6342db4f3dff0c?AccessKeyId=FE260DB0078FD9887AF2&disposition=0&alloworigin=1 Please review the athlete code of conduct here: http://nebula.wsimg.com/19864a83fcfaf769d7a104ad09aa867b?AccessKeyId=FE260DB0078FD9887AF2&disposition=0&alloworigin=1 Please review the concussion fact sheet here: http://nebula.wsimg.com/1fa17c0c2d1cf464460f01ec2069c54d?AccessKeyId=FE260DB0078FD9887AF2&disposition=0&alloworigin=1
My typed signature gives my acknowledgement of the liability waiver policies, team policies, code of conduct, and concussion fact sheet. If you prefer to upload hand signed documents, you can do it on the next question.
*
Please type your full name below. If athlete is a minor (under 18) this will be the parent/guardian name.
Please upload your signed liability waiver, team policies document, and code of conduct document here.(Alternately, a link for an electronic signature can be sent via email).
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If you have not already submitted a travel medical form, please do so at this link: https://hipaa.jotform.com/amorisondc/seattle-adaptive-sports-travel-medParent/Guardian signatures and permissions will be given for minor athletes (under 18). Please type your name to acknowledge that you have turned this form in.
*
The form is only seen by your coach or the volunteer medical staff and will only be given to emergency medical personnel in the event of emergency care being needed.
If you are borrowing equipment for the season, please sign and upload the equipment loan form and use the PayPal button on the membership to pay your season equipment loan fee when you pay for your membership.http://nebula.wsimg.com/487dd72c2cc5cdf0a3e02ff80452ae41?AccessKeyId=FE260DB0078FD9887AF2&disposition=0&alloworigin=1
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