DRIVE Basketball Academy Registration Form

DRIVE Skills Basketball Summer Training

Registration Form

NAA Building

1214 Turrentine St, Burlington, NC

Athlete Information

Player Name

First NameLast Name

Grade

Guardian / Parents Names

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Cell Phone

Area CodePhone Number

E-mail

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: $200 per participant.

Includes 8 skill training sessions, twice a week on Tuesday and Thursdays from 6pm-6:50pm.

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?

Please describe

My Products

June Basketball Skills Training Session (Begins Tuesday June 9th ends Thursday July 2nd) . Registration Fee: $200 Includes 8 skill training sessions, twice a week on Tuesdays and Thursdays from 6:00PM-6:50PM (June 9th - July 2nd)

June Basketball Skills Training Session (Begins Tuesday June 9th ends Thursday July 2nd) $200.00

Registration Fee: $200 Includes 8 skill training sessions, twice a week on Tuesdays and Thursdays from 6:00PM-6:50PM (June 9th - July 2nd)

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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 4 week group program.

I have read and agree to the above conditions

Parent's Signature/ Child's Signature

My Products*

Release of Liability

My Products