registrationPlease complete form to register with Sammy Ball Athletics Athlete's Name * First Name Last Name Age of Athlete * Sex at Birth * Male Female Athlete known as Enter name if athlete is known by a different name Athlete's current coach (if any) If the athlete has a coach, there needs to be a discussion before Sammy starts coaching. Primary Contact (if athlete is under 18) First Name Last Name Primary Phone Contact * (###) ### #### Primary Email Contact * Emergency Contact Name * First Name Last Name Emergency Contact Phone Number * (###) ### #### Relationship of Emergency Contact to Athlete * Parent / Legal Guardian Spouse / Civil Partner Other Family Relation Trusted Friend Other Medical Information Please list any medical conditions, allergies and medications that you wish the coach to be aware of? Any Other Information? Thank you for your registration at Sammy Ball Athletics.
