2025 Pre-Season Basketball Clinic Registration

Pre-Season

Skills & Conditioning

Clinic Registration

November 10-11, 2025

November 17-18, 2025

Smith Academy

Hatfield, MA

Athlete Information

Player Name

First NameLast Name

Date of Birth

Grade Level (Fall 2025)

Current School

Guardian / Parents Names

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Phone #

Area CodePhone Number

Additional Phone

Area CodePhone Number

E-mail

Emergency Contact & Health Insurance Information

Emergency Contact's Name

First NameLast Name

Phone Number

Area CodePhone Number

Is the player fully covered by health insurance ?

Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to give consent for the facility to secure any and all necessary emergency medical care for my child.

Do you give consent for emergency medical treatment?

Release of Liability

Although the safety of all sport activities is our primary concern, all athletic activities contain a level of risk for injury. I hereby expressly assume the risk of injury, and/or illness (including possible exposure to Covid-19) arising from any cause related to the player's participation in the associated athletic activities, and agree to waive the right to pursue any claim against Mass Frenzy, Inc. and its staff and coaches.

I have read and agree to the above conditions

Parent / Guardian Name

Your name will act as an electronic signature for above terms.

My Products

2025 Pre-Season Clinic (Both Sessions)$115.00

2025 Pre-Season Clinic Session I (Nov. 10-12)$65.00

2025 Pre-Season Clinic Session II (Nov. 17-19)$65.00

Enter coupon

Total $0.00

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Release of Liability

Pay Clinic Fee

My Products*

My Products