SMS Athletic Association - Home of the MUSTANGS! - (Somerset, NJ)

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SMSAA 2019-2020 Player Registration Form

* Family Number:

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Gender:

* Grade:

* Choose Activity:

* Please Choose Uniform Size:

AXL

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

I would like to volunter for the following:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I consent to my child participating in the CYM/SMSAA League. My child and I will abide by the rules and regulations of the Diocese of Metuchen & SMSAA, its affiliated organizations including CYM Sports.

I specifically waive and release any and all claims of any nature which I may have now or in the future against the above named parish and/or school, the Diocese of Metuchen, their representatives, employees, agents and assigns (including, but not limited to, staff and adult supervisors) arising out of, related to, or connected in any way with the above described activity including, but not limited to, claims that may be derived from any accident or injury sustained by my child or damages or loss to property in route to, during, and/or returning from the activity.

I/we agree with the above *

* indicates required fields

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SMS Athletic Association - Home of the MUSTANGS!

SMSAA 2019-2020 Player Registration Form