DRIVE Basketball Academy Registration Form

DRIVE Skills Basketball September 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 meeting twice a week.

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

Elementary School September Basketball Skills Training Session (Begins Tuesday September 1st ends Thursday September 24th) . Registration Fee: $200 Includes 8 skill training sessions, twice a week on Tuesdays and Thursdays from 3:40PM-4:30PM (September 1st - September 24th).

Elementary School September Basketball Skills Training Session (Begins Tuesday September 1st ends Thursday September 24th) $200.00

Registration Fee: $200 Includes 8 skill training sessions, twice a week on Tuesdays and Thursdays from 3:40PM-4:30PM (September 1st - September 24th).

Middle School September Skills Training Sessions (Begins Wednesday September 2nd ends Wednesday September 30th). Registration Fee: $200 Includes 8 skill training sessions, twice a week on Mondays and Wednesdays from 6:00PM-6:50PM (September 2nd - September 30th) *No workouts Labor Day September 7th

Middle School September Skills Training Sessions (Begins Wednesday September 2nd ends Wednesday September 30th)$200.00

Registration Fee: $200 Includes 8 skill training sessions, twice a week on Mondays and Wednesdays from 6:00PM-6:50PM (September 2nd - September 30th) *No workouts Labor Day September 7th

High School September Skills Training Sessions (Begins Wednesday September 2nd ends Wednesday September 30th). Registration Fee: $200 Includes 8 skill training sessions, twice a week on Mondays and Wednesdays from 7:00PM-7:50PM (September 2nd - September 30th) *No workouts Labor Day September 7th

High School September Skills Training Sessions (Begins Wednesday September 2nd ends Wednesday September 30th)$200.00

Registration Fee: $200 Includes 8 skill training sessions, twice a week on Mondays and Wednesdays from 7:00PM-7:50PM (September 2nd - September 30th) *No workouts Labor Day September 7th

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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