Wheelchair Basketball Participation Application - Athletes Under 18

SC4 students and community members are invited to apply for participation in wheelchair basketball at St. Clair County Community College. Completing the application does not guarantee a spot on the team. Applicant will be contacted by the Athletic Department for information on practices and tryouts. Please scroll down for additional information.

Fields with asterisk are required.

First Name *
Middle Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
Date of Birth *
Emergency Contact Name *
Emergency Contact Phone Number *
Relationship to Athlete *
Please list any known allergies or medical conditions.
Have you ever attended another college? *: Yes

No
If yes, please list all colleges you have attended.
Activity Liability Waiver Agreement *: I agree to the terms and conditions of the activity liability waiver.
Activity Liability Waiver

View Activity Liability Waiver
Trip Liability Waiver Agreement *: I agree to the terms and conditions listed in the trip liability waiver.
Trip Liability Waiver

View Trip Liability Waiver
Parent/Legal Guardian's Name *
Relationship to Athlete *
Parent/Legal Guardian Approval *: As a parent/legal guardian of the athlete, I have read and accepted the terms and conditions of the required athletic forms. If the applicant is currently under 18 years old, a parent or legal guardian must review and approve the terms and conditions of these forms. Any falsification could lead to removal from participation.

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Forms

Please find a list below of the forms required by the Athletic Department and the actions needed.

Forms to read and accept terms and conditions on The Pier:

Activity Liability Waiver
Trip Liability Waiver

If the applicant is currently under 18 years old, a parent or legal guardian must review and approve the terms and conditions of these forms. Any falsification could lead to removal from participation.

Questions? Contact Dane Vos at drvos@sc4.edu or 810-989-5588.