SLP Crush Ultimate 2022 Player Information
Complete the questions below and click "submit." Your answers will be put into a spreadsheet for coaches' use only and will not be shared with anyone.
COMPLETED FORMS DUE BEFORE PLAYER ATTENDS THE FIRST PRACTICE/PRE-SEASON TRAINING OR NO LATER THAN MARCH 1st - please email slpultimate.orangecrush@gmail.com if you are unable to meet this deadline or have any questions.
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First Name *
Last Name *
Player Email *
Add your personal or school email address.  Whichever you use most regularly.
Nickname or preferred name
Player's Preferred pronouns
Clear selection
Can you receive emails, text messages and GroupMe messages? *
Parent/ Guardian #1 - First and Last Name: *
Parent/ Guardian #1 - Primary phone number: *
Parent/ Guardian #1 - Primary email address: *
Parent/ Guardian #2 - First and Last Name:
Parent/ Guardian #2 - Primary Phone Number:
Parent/ Guardian #2 - Primary email address:
Player Address *
Number of years of ultimate played *
I am a: *
Which team do you want to play on? *
Boys/Open Team Only - If you have any comments about your Varsity/JV choice from above, please share here.
Girls Team Only - List any REGULAR schedule conflicts:
If none, write "none." League Games: Tuesdays, 5 - 8 pm (April thru May); Practices: Mondays and Wednesdays, 4:30 - 6:30 pm (possibly 4 - 6 pm), Captains Practice (recommended but not required):  Fridays 3:30-5:30 pm; State Tournament (June 4th and 5th).
Boys/Open Team Only - List any REGULAR schedule conflicts:
If none, write "none." League Games: Thursdays, 5 - 8 pm (April thru May); Practices: Mondays and Wednesdays, 3:30 - 5:30 pm (possibly 4 - 6 pm), Captains Practice (recommended but not required):  Fridays 3:30-5:30 pm.  State Tournament (June 4th and 5th).
Madison Mudbath Travel Tournament - Are you interested in traveling to Madison, WI, in mid-late April for a weekend tournament (stay overnight Friday and Saturday)? *
Family Physician's name
Family Physician's Phone Number
Preferred Hospital
Emergency Contact Name *
Emergency Contact Cell Phone Number *
Is your parent/ guardian a health or medical professional (if so, list name)?
In case of a medical emergency during a game, who can assist with first responder tasks (e.g., nurse, doctor, etc.)
List any medications, vitamins, or supplements that you take which a physician should be alerted to: *
If none, write "none"
List any allergies, chronic illnesses or other conditions which a physician should be alerted to: *
If none, Write "none"
Questions or anything else you would like the coaches to know.
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