SCS Home Trainings

SCS Academy Basketball Home Training Registration

(5 and up)

Girls & Boys

Athlete Information

Player Name*

First NameLast Name

Age:

Gender: (Mark Checkbox next to)*

FemaleMale

Parent/Guardian Information:

Parent/Guardian:*

First NameLast Name

Phone*

Area CodePhone Number

E-mail:*

Emergency Contact

Emergency Contact's Name:*

First NameLast Name

Phone Number:*

This is for INDIVIDUAL TRAINING ONLY IN SMALL GROUPS. We will specialize on more one on one skills training according to your player needs.

**** We are traveling within different parts of the county. We will send you text to confirm your start time based on the locations we are traveling to.

Appointment*

Shirt Size (check all that apply)*

Medical Information:

Does your child have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo

Confirmation

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by SCS Academy and SCS Athletes during the selected camp. In exchange for the acceptance of said child’s candidacy by SCS Academy., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless SCS Academy and Athletes . 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 camp sessions. In case of injury to said child, I hereby waive all claims against SCS Academy and Athletes . 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.

I give SCS Academy permission to use my child's photos and videos for website and promotional purposes.

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

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at hondoathletics@gmail.com

Referred by

Name of who referred you

My Products

1 session $65.00

Home sessions are 60 mins

Participants

2 sessions$95.00

Home sessions are 60 mins

Participants

3 sessions$125.00

Home sessions are 60 mins

Participants

4 Sessions $180.00

Home sessions are 60 mins

Participants

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Subtotal $0.00Tax $0.00Total $0.00

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