2023 Fall Boys & Girls Basketball Skills Academy

VALPO BOYS & GIRLS FALL BASKETBALL SKILLS ACADEMY 2023 REGISTRATION

(For Boys & Girls in Grades 3rd - 6th)

9 SESSIONS OF BASKETBALL SKILL WORK-OUTS
- BALL HANDLING: STATIONARY & ACTIVE GAME MOVES
- SHOOTING: TECHNIQUE, JUMP-SHOOTING, SET SHOTS, AND FINISHING WITH CONTACT
- FREE-THROW TECHNIQUE: LEARNING THE VALPO FREE-THROW, VIRGIL SWEET METHOD
- OFFENSIVE & DEFENSIVE SKILLS SETS: PLAYER MOVEMENT, BALL MOVEMENT, PLAYER SPACING
- POSTIONAL WORK: POST & GUARD SPECIFIC
* HOSTED AT VALPARAISO HIGH SCHOOL GYM & FIELD HOUSE*

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ALL PLAYERS WILL RECEIVE:

FALL SKILLS ACADEMY WORK-OUT T-SHIRT

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Instruction provided by Highly Experienced Former High School and Collegiate Players

Mondays and Wednesdays Nights @ VHS

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Mondays:

6-7:00pm, 5th Grade

7-8:00pm, 6th Grade

Begins Monday, September 18th

Work-Out Dates: Sept. 18th, Sept. 25th, Oct. 2nd, Oct. 9th, Oct. 23rd, Oct. 30th, Nov. 6th, Nov. 13th, Nov. 27th

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Wednesdays:

6-7:00pm, 3rd Grade

7-8:00pm, 4th Grade

Begins Wednesday, September 20th

Work-Out Dates: Sept. 20th, Sept. 27th, Oct. 4th, Oct. 11th, Oct. 25th, Nov 1st, Nov. 8th, Nov. 15th, Nov. 29th

*Players must provide their transporation to and from work-outs.

EMERGENCY CONTACT & INSURANCE INFORMATION
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*

Area CodePhone Number
E-mail*
Emergency Contact's Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*

Area CodePhone Number
Insurance Carrier*
Insurance Policy Holders Name*

First NameLast Name

PERMISSIONS & RELEASES
Permission For Emergency Medical Treatment

As the legal parent or guardian, in the event of illness or accident, I give consent for the Valpo Boys Hoops LLC and Valpo Hoops LLC & members of the Valparaiso High School Boys & Girls Basketball Coaching Staff to secure any and all necessary emergency medical care for my child. The undersigned gives permission to Valpo Boys Hoops LLC and Valpo Hoops LLC its owners and operators and members of the Valparaiso High School Boys & Girls Basketball Coaching staff to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I request that my child be transported to Northwest Healt Porter Hospital in the event of an emergency. I hereby declare we have listed any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good enough physical and mental health to participate in basketball practice and games.
I have read and agree to the above conditions of the Permission For Emergency Medical Treatment:*

YesNo
Release of Liability
As the legal parent or guardian, I release and hold harmless Valpo Boys Hoops LLC and Valpo Hoops LLC, its owners and operators, members of the Valparaiso High School Boys & Girls Basketball Coaching Staff, and the Valparaiso Community School Corporation from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Valpo Boys Hoops LLC and Valpo Hoops LLC, its owners and operators or in route to or from any of said premises.
I have read and agree to the above conditions for the Release of Liability:*

YesNo
Signature*

PAYMENT

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