Basketball Training Registration Form

Basketball Training Registration Form

Please fill out this form to register for our basketball training program.
Participant's Full Name*

First NameLast Name
Participant's Age*
Prior Basketball Experience Level
Emergency Contact Full Name*

First NameLast 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:

AsthmaAllergiesDiabetesHeart ConditionOther
Parent/Guardian Full Name (if participant is under 18)*

First NameLast 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?

YesNo
Select Training Program
prevnext( X )
Individual Training Program
Individual training one participant

$50.00 Quantity



Group Training Program
Group training up to 12 participant

$15.00 Quantity



Team Training Program
Team training program for up to 15 participant

$150.00 Quantity



Total

$0.00
Any other information or special needs we should be aware of?
Send payment to $OurVisionAr (Cashapp) Type Online or Payment at Door
Waiver sign at the door before participant can participate
Should be Empty: