Boys Basketball Clinic Registration

 Two Sessions Available

November 7 and 28

 1 p.m. - 2:30 p.m. 5th and 6th grade

 2:30 p.m. - 4:30 p.m. 7th and 8th grade

 $30 per session

Required

Participant Namerequired
First Name
Last Name
Select Clinic Session(s)requiredFor 5th & 6th Graders - $30 per session
For 5th & 6th Graders - $30 per session
Select Clinic Session(s)requiredFor 7th & 8th Graders - $30 per session
For 7th & 8th Graders - $30 per session

 


 

Parent/Guardian Namerequired
First Name
Last Name
 
Athletics Liability Waiver
Statement of Good Healthrequired
List following allergies your son may have
List following medical conditions your son may have
Statement of Riskrequired
Statement of Liabilityrequired
Parental Consent to Treatrequired
 
Emergency Contact Information
Emergency Contact namerequired
First Name
Last Name

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired