The Academy| Winter

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The Academy will take place on Saturdays and the location of the facility will be provided via text message once the form is completed. The facility is located in Washington Heights, NYC

Time

Age

Focus

3:00-5:00 PM

5-11 Years old

Training sessions include work in the following areas:

1) Learn fundamentals, basic strategies, and rules of the game

2) Improve basic game skills such as dribbling, finishing at the basket, defense, overall fitness, shooting, and passing

build confidence and self-esteem on and off the court

5:00-7:30 PM

12-15 Year old

Training sessions include learning concepts in the following areas:

1) Shooting

2) Ball Handling

3) Offensive Moves (for Guards and Post Players)

4) Footwork

5) Rebounding

6) Defense

7) Speed

8) Strength Development.

E-mail

Provide valid email for updates, alerts and communication purposes

Athlete Information

Athlete's Name *

First Name Last Name

Birth Date *

Month Day Year

Grade *

Zipcode *

Home Zip code

Jersey size

Parent/Guardian Information

Parent Name *

First Name Last Name

Parent phone number *

The phone number provided will receive all the program communications via text. From a 77222 number

What language would you like to receive program alerts? Alerts are sent via text and email *

Emergency Information

Relationship *

Emergency Contact's Name *

First Name Last Name

Phone *

My Products

Pay In Person Free

If you need a payment plan select this option.

Registration Fee $ 300.00

10 sessions 1 workout reversible jersey included to receive coupon tag @ubayouth on social media and get $20 off.

Returning Athlete $ 275.00

This is for participants who are returning and already have the workout Jersey. To receive coupon tag @ubayouth on social media and get $20 off.

Enter coupon

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Uplift NYC during the selected camp. In exchange for the acceptance of said child’s candidacy by Uplift NYC, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Uplift NYC and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected sessions.

In case of injury to said child, I hereby waive all claims against Uplift NYC including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Picture and Video Waiver

I hereby give permission for my child to be photographed and recorded for publicity purposes during the Uptown Basketball Academy program. I understand the photos and videos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, videos, newspaper and on the internet. I understand that although my child’s photograph and/or recordings may be used for advertising, his or her identity will not be disclosed, I do not expect compensation and that all photos and/or videos are the property of UPLIFT NYC.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature *

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