DRIVE Basketball Academy Spring Registration Form

DRIVE Skills Basketball Training

Registration Form

1214 Turrentine St, Burlington, NC

Athlete Information

Player Name*

First NameLast Name

Age*

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.

Fee: $480 per participant.

Includes 24 skill training sessions, twice a week.

*No workouts April 14th-April 18th. (Spring Break)

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*

12 Week Skills Training 4th-5th grade (Begins Monday March 3rd ends Wednesday May 28th)$480.00

Registration Fee: $480 Includes 24 skill training sessions, twice a week Monday and Wednesday from 3:45 to 4:30pm

12 Week Skills Training 6th -8th grade Boys (Begins Tuesday March 4th ends Thursday May 29th) $480.00

Registration Fee: $480.00 Includes 24 skill training sessions, twice a week Tuesday and Thursday from 6:00 PM- 6:50 PM

12 Week Skills Training Ladies 6th-8th grade (Begins Tuesday March 4th ends Thursday May 29th)$480.00

Registration Fee: $480 Includes 24 skill training sessions, twice a week Tuesday and Thursday from 7:00 PM-7:50 PM

12 Week Skills Training Ladies 6th-8th grade (Begins Thursday March 6th ends Thursday May 30$360.00

Registration Fee: $360 Includes 12 skill training sessions, Once a week Thursday from 7:00 PM-7:50 PM

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 12 week group program.

I have read and agree to the above conditions*

YesNo

Parent's Signature/ Child's Signature*