Class/Training Registration Form

Group Classes & Training Registration Form
Please note below:

Registration: If you have more then one athlete/player participating in OBA class or training please make sure to fill out a form for each.

Payments: All payments can be made by e-transfer to openbasketballacademy@gmail.com.

OBA also works with Kids Sports to allow for assisted programs to help with payment. CLICK HERE for more information.

Cost Breakdown:

Kids Class:

$225/5 sessions ($45/session)
$400/10 sessions ($40/session)
$800/4 months of training (This package includes unlimited classes for the four month period.)
** Each training session is 90 min on court.**

Junior High Class

$225/5 sessions ($45/session)
$400/10 sessions ($40/session)
$800/4 months of training (This package includes unlimited classes for the four month period.)
** Each training session is 90 min on court.**

High School Class

$225/5 sessions ($45/session)
$400/10 sessions ($40/session)
$800/4 months of training (This package includes unlimited classes for the four month period.)
** Each training session is 90 min on court.**

Small Group Training

$225/5 sessions ($45/session)
$400/10 sessions ($40/session)
$800/4 months of training (This package includes unlimited classes for the four month period.)
** Each training session is 60 min on court.**

Private Training

$540.00 / 6 sessions
**Each training session is 90 min on court.**

Outdoor Training

$150.00 / 5 sessions
**Each training session is 60 min on outdoor court.**
Athlete/Player Information
What class/training session is athlete/player signing up for.*

Kids ClassJunior High ClassHigh School ClassSmall Group TrainingPrivate TrainingOutdoor Training
If you choose to sign up for kids, junior high, high school or small group training classes how many sessions is the athlete/player wanting to sign up for?
Athlete Name*

First NameLast Name
Athlete Alberta Health Care Card
Athlete Birth Date*

MonthDayYear
Athlete Age*
Athlete Gender*
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Athlete E-mail
example@example.com
Athlete Primary Phone Number

Area CodePhone Number
Athlete medical conditions/allergies
Athlete reversible jersey size.*
Athlete t-shirt jersey size.*
Parent)s)/Guardian Information

Please fill out this portion of the form if you are filling out the form for an athlete/player who is under the age of 18. If you are over the age of 18 you can move to the next part of the registration form.
Parent(s)/Guardian Name

First NameLast Name
Parent(s)/Guardian E-mail
example@example.com
Parent(s)/Guardian Phone Number

Area CodePhone Number
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship to you*
Emergency Contact Primary Phone Number*

Area CodePhone Number
Emergency Contact Secondary Phone Number

Area CodePhone Number
Consent
I give my permission for photographs to be used in promotional materials, websites, newspaper articles or future camp brochures.*

I agreeI do not agree
I have read and understand the following:
- In the event of an emergency, I give consent for the Camp Staff or designated appointee to authorize on my behalf all procedures(including admission to the hospital and necessary treatments) if contact cannot be made with the parents/guardians or emergency contacts.
- Yes, I certify that the registrant on this form is in good health and can vigorously participate in the Open Basketball Academy.
- Yes, I consent to the full participation of the aforementioned registrant, fully recognizing and, accepting the inherent risks involved in sporting activities.
- Yes, I release and hold harmless, the Open Basketball Academy all liability or damage to person or property howsoever caused, resulting from participation by the aforementioned registrant in the program.
- Yes, Freedom of Information: Pursuant to Section 39 (2) of the Freedom of Information and Privacy Act, you are hereby notified that your personal information is being collected for the purpose of assisting program director or staff in the event of an emergency, mailing information regarding the Open Basketball Academy, and for creating internal records.
Signature Parent(s)/Guardian (if under the age of 18)

Clear
Parent(s)/Guardian Name

First NameLast Name
Date

MonthDayYear
Date
Signature Athlete

Clear
Athlete Name

First NameLast Name
Date

MonthDayYear
Date
Please note below:
- Payments: All payments can be made by e-transfer to openbasketballacademy@gmail.com
Should be Empty:

Group Classes & Training Registration Form

Athlete/Player Information

Parent)s)/Guardian Information

Emergency Contact Information

Consent