DRIVE Basketball Academy Summer Registration Form

DRIVE Skills Basketball Development

Summer Training

Registration Form

1214 Turrentine St, Burlington, NC

Athlete Information

Player Name*

First NameLast Name

Grade*

Guardian / Parents Names*

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

E-mail*

Cell Phone

Area CodePhone Number

Basketball skill level*

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Important Notes

· Dress appropriately.

· Keep the gym clean.

. Bring your own athletic drink, bottled water will also be available.

Training Groups & Times: Tuesday and Thursdays

. Rising 4th–5th Grade: 3:45 PM – 4:30 PM
. Rising 6th–8th Grade Boys: 6:00 PM – 6:50 PM
. Rising 6th–9th Grade Girls: 7:00 PM – 7:50 PM

*No workouts the week of July 27th-August 1st.

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

Do you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo

Please describe

My Products*

4 Week Skills Training (Begins Tuesday August 5th ends Thursday August 28th)$240.00

Registration Fee: $240 Includes 8 skill training sessions, twice a week Tuesday and Thursday.

Enter coupon

Total $0.00

Release of Liability

Although the safety of all during basketball activities is the primary concern, basketball activities at DRIVE Basketball Academy facilities may cause injuries and/or death. I assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the DRIVE Basketball Academy and the persons in charge.

Make Up Days

There are no make up days built into the Summer group training program.

I have read and agree to the above conditions*

YesNo

Parent's Signature/ Child's Signature*