Basketball Training Registration Form
Please fill out this form to register for our basketball training program.
Participant's Full Name
*
First Name
Last Name
Participant's Age
*
Prior Basketball Experience Level
Please Select
Beginner
Intermediate
Advanced
Emergency Contact Full Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Any relevant medical conditions or allergies we should be aware of?
Please check any relevant medical conditions:
Asthma
Allergies
Diabetes
Heart Condition
Other
Parent/Guardian Full Name (if participant is under 18)
*
First Name
Last Name
Parent/Guardian Email Address (if participant is under 18)
*
example@example.com
Parent/Guardian Phone Number (if participant is under 18)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Signature (if participant is under 18)
*
Do you allow us to take photos and videos of the participant during training sessions for promotional purposes?
Yes
No
Any other information or special needs we should be aware of?
Send payment to $OurVisionAr (Cashapp) or Payment at Door
Waiver sign at the door before participant can participate
Submit Registration
Should be Empty: