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CYO Basketball Clinic
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1
Player's Name
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First Name
Last Name
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2
Choose the gender of the player:
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Male
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3
What is the player's grade for the 2023-2024 school year?
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Select the age of the player.
1st/2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
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1st/2nd Grade
3rd Grade
4th Grade
5th Grade
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7th Grade
8th Grade
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4
Parent/Guardian Information
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Please complete your contact information below.
First and Last name
Cell Phone Number
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5
E-mail Address
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6
How did you hear about our Basketball Clinic?
Select an option below or click "Next" to skip to the next question.
Bay Area Sports website
Google/Search Engine
A Friend or Colleague
Social Media/Facebook/Instagram/Twitter
Other
Bay Area Sports website
Google/Search Engine
A Friend or Colleague
Social Media/Facebook/Instagram/Twitter
Other
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7
Medical Conditions (If Applicable):
Please list below any medical conditions and/or allergies that you think we should know about (or click "Next" to skip to the next question):
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8
AGREEMENT/WAIVER
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SCROLL ALL THE WAY DOWN TO ACCEPT THE AGREEMENT/WAIVER. I hereby waive, release and discharge any and all claims for damages for the personal injury, death, or property damage which I may have, or which hereafter accrue to me or my child, as a result of participation in basketball practices and/or basketball competitions in all its forms. The release is intended to discharge in advance BAS Tournaments, it’s coaches or volunteers from any and all liability arising out of or in any way connected with my participation in said activity. Its understood that the activity involves an element of risk and danger of accidents and knowing those risks, I assume those risks. It is further agreed that this waiver, release, and assumption of risk, is to be binding on my heirs and assigns. I agree to indemnify and to hold BAS Tournaments, all persons and entities associated with (BAS Tournaments), free and harmless from any loss, liability, damage, cost or expense, in which they may incur as a result of death, injury or property of damage that I may sustain while participating. I also give BAS Tournaments, it’s coaches or volunteers the right to copyright and/or publish, reproduce, or otherwise use my child’s name, voice, and likeness and/or photographs, and audiovisual recordings that include my child for instruction, advertising, program website, publications or brochures, or any other lawful purpose whatsoever. I hereby agree to relinquish all rights, title and interest I may have in the finished product and waive all rights to any compensation thereof. I hereby consent that my child may participate in the above activity, and hereby execute the above agreement, release and waiver on his behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense, which may arise or may be incurred as a result of death, injury, or property damage that said minor may sustain while participating in said activity. I further expressly acknowledges that the foregoing agreement, waiver, and release form is intended to be as broad as is permitted by the laws of the State of California and that if any portion thereof is held invalid, it is agreed that the balance notwithstanding, continue in full legal force and effect. Undersigned agrees that no oral representations, statements or inducements apart from the foregoing written agreement have been made. I HAVE READ THE FOREGOING RELEASE, I FULLY UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.
* NO REFUNDS. EXCEPT AS EXPLICITLY OTHERWISE PROVIDED HEREIN, YOU UNCONDITIONALLY UNDERSTAND THAT ALL SALES ARE FINAL. THERE WILL BE NO REFUNDS UNLESS THE EVENT IS CANCELLED.
I/We agree with the above.
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9
Signature Required
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By signing below you agree to the previous waiver agreements
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10
Registration Type:
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REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED.
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ORDER SUMMARY
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October, 21, 2023 - West County Salesian Youth Club (Richmond, CA)
$
100.00
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