Ledford Basketball Cubs Club Clinic Registration

Saturday Cubs Club Clinic Registration

Please fill out the form below to register for the Saturday morning clinics. Participation is free, but a waiver is required.
Child's Full Name*

First NameLast Name
Child's Age*
Child's gender? *
Child's Current School*
Child's Current Grade*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone # (Best # to contact in case of emergency)*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email*
example@example.com
YesNo
Saturday, September 13thSaturday, October 4thSaturday, October 18thSaturday, November 1stSaturday, November 8th
YesNo
Allergies (please specify)
T-Shirt Size*
Parent/Guardian Waiver and Signature*

Powered by Jotform SignClear
I hereby give my approval for my child’s participation in any and all activities prepared by this organization, during the selected camp. In exchange for the acceptance of said child’s candidacy by this organization. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless this organization. All its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected camp sessions.In case of injury to said child, I hereby waive all claims against the organization. Including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. .*
Should be Empty:

Saturday Cubs Club Clinic Registration