Registration Form

Please check our schedule on the "HOME" page to see which sport we are currently playing before registering!

If your player already has a uniform, please do NOT order one! Thank you!

Fill out the following form online and click the submit button. You must agree to the medical release form and WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT set out below before your child may participate.

 

If you would rather print the registration form and mail or fax it to us, click on the link titled "Registration Package" directly below:

Mail to:

Adaptive Sports for Kids

P.O. Box 332

Nederland, TX 77627

Fax: (409) 735-4849

Player Name *
Player Name
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
Name, Phone, Email, Occupation
Name, Phone, Email, Occupation
MEDICAL RELEASE - The purpose of the below listed information is to ensure that medical personnel have details of the medical problem which may interfere with or alter treatment.
Name, Number, Relationship to Player
Date *
Date
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT