Small Group Training

Skill Training Registration Form

- WINTER 2025 -

Grades: KG to 12 (ages 5 to 17)

8 SESSIONS

Athlete Information

Player's Name*

First NameLast Name

Player #1 Information Section*

Age*

Player # 1's Gender*

Player #1's T-Shirt Size*

Player #1's Skill Level*

Player #2 Information Section

Player # 2's Gender

Player #2's T-Shirt Size

Player #2's Skill Level

Parent's Information Section*

Parent's Names*

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Cell Phone*

E-mail*

example@example.com

Preferred Training Location*

North Side: Saturdays at Ecole Pere-Lacombe 10715 131A Avenue NWSouth Side: Sundays at Garth Worthington School 351 Chappelle Dr. SW

Type a question*

Player #1: $240.00+tax per player (*Individual player cost)Player #1 + Player #2: $424.60+tax (*Cost for 2 players from the same family)

Please Select Your Training Program Options*

NORTHSIDE - COED: 5 to 9 years old - 8 Weeks : 8 Sessions (including games) - Saturdays 2:00pm to 3:00pmNORTHSIDE - GIRLS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Saturdays 3:00pm to 4:00pmNORTHSIDE - BOYS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Saturdays 4:00pm to 5:00pmSOUTHSIDE - COED: 5 to 9 years old - 8 Weeks : 8 Sessions (including games) - Sundays 12:00pm to 1:00pmSOUTHSIDE - GIRLS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Sundays 1:00pm to 2:00pmSOUTHSIDE - BOYS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Sundays 2:00pm to 3:00pm

Please Select Your Training Program Option*

NORTHSIDE - COED: 5 to 9 years old - 8 Weeks : 8 Sessions (including games) - Saturdays 2:00pm to 3:00pmNORTHSIDE - GIRLS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Saturdays 3:00pm to 4:00pmNORTHSIDE - BOYS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Saturdays 4:00pm to 5:00pmSOUTHSIDE - COED: 5 to 9 years old - 8 Weeks : 8 Sessions (including games) - Sundays 12:00pm to 1:00pmSOUTHSIDE - GIRLS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Sundays 1:00pm to 2:00pmSOUTHSIDE - BOYS ONLY: 10 to 17 years old - 8 Weeks : 8 Sessions (including games) - Sundays 2:00pm to 3:00pm

Basketball Skill Level - description under 'Youth Programs' on the menu tab*

Starter (Beginner) LevelIntermediate LevelAdvance / Elite Level

Important Notes

· Dress appropriately with proper basketball shoes (no indoor or outdoor shoes)

· Keep the gym clean.

. No food or drinks in the gym (water and sport drinks with caps are allowed).

· CCH organizers reserve the right to refuse any player who does not follow our rules and conditions without refund.

Emergency Contact & Health Insurance Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

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

YesNo

Please describe*

Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission to Capital City Hoops qualified personnel to administer CPR/First Aid should my child require it. I also agrant permission to Capital City Hoops and its staff to contact emergency medical services (Police, Ambulance or Fire Fighters) for any emergency treatment for my child.

Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at Capital City Hoops may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against Capital City Hoops and its staff and/or affiliates and the persons in charge.

Photo Release

Capital City Hoops does take photographs and videos of all training sessions and games for promotional uses. These photographs and videos are used, but not limited to CCH's website, social media pages and in marketing programs. I give authority to Capital City Hoops to use photographs and/or videos for marketing and communication purposes such as, but not limited to advitising, promotions, displays, website, newsletters, social media and brochures. Names of individuals will not accompany any photographs or videos used for the above noted purposes. Photographs and videos of large groups of individuals may be posted on our social media platforms without the permission of a parent and/or guardian.

I have read and agree to the above conditions*

YesNo

Parent's Signature/ Child's Signature*

Select Your Payment Option*

*INDIVIDUAL PLAYER REGISTRATION* 8 Weeks / 8 Training Sessions & Games Product Image

*INDIVIDUAL PLAYER REGISTRATION* 8 Weeks / 8 Training Sessions & Games 1X per week

$240.00CAD

*FAMILY (2 PLAYER) REGISTRATION* 8 Weeks / 8 Training Sessions & Games Product Image

*FAMILY (2 PLAYER) REGISTRATION* 8 Weeks / 8 Training Sessions & Games1X per week

$424.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card