SESSION 1: (WEDNESDAY EVENINGS) 3/4, 3/11, 3/18, 3/25
GRADES 2-6 7PM-8PM, GRADES 7-12 8PM-9PM
SESSION 2: (WEDNESDAY EVENINGS) 4/15, 4/22, 4/29, 5/6
GRADES 2-6th 7PM-8PM, GRADES 7-12 8PM-9PM
Athlete Name
*
First Name
Last Name
ATHLETE'S GRADE
*
Please Select
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
SPRING TRAINING OPTIONS
*
Please Select
SPRING TRAINING 1 $120
SPRING TRAINING 2 $120
SPRING 1 & 2 COMBO $220
Venmo Payment
https://www.venmo.com/u/Joshharterceb
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Health Insurance company
Health Insurance Number
Release Statement
I release Josh Harter and Competitive Edge Basketball Training Program of all liability including injury, death or other damages to me or my child, family, that may result from his/her participation in the program, including but not limited to transportation and hold harmless any of Competitive Edge Training participants, program staff, or other representative, both collectively and individually, of any injury, physical or emotional, other than where gross negligence has been determined.
Signature
*
Media Release
I give permission for Josh Harter and Competitive Edge Basketball Training to make useof pictures of my son/daughter for informational/advertising purposes only. I hereby release Josh Harter and Competitive Edge Basketball Training and all of its affiliated entities, including employees, volunteers and sponsors for any liability for any damages suffered as a result of or relating to the use of any photographs, slide,audiotape, or videotape of my child done in accordance with the forgoing.
Signature
*
Submit
Submit
CEB SPRING TRAINING
AT MMCS HIGH SCHOOL- 30 BONNADONNA AVENUE MT. MORRIS, NY 14510
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