Instructional Basketball

Instructional Basketball Registration

Instructional Basketball is an 8-week program for players 5-8 years old that want to get to know the game of basketball! It is a basic program, teaching players the fundamentals of basketball through fun station-based drills and games, learning what it’s like to work with others and play on a team. Players will be placed on one of four teams and play games against other teams within the program. The program will culminate with snacks and awards on the final session.
Participant

First NameLast Name
Date of Birth
Gender
Race/Ethnicity

Other
Primary Language Spoken
School as of October 1, 2026
Grade as of October 1, 2026
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Contact: Parent or Guardian

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Relationship to Participant
Would you like to volunteer?
Emergency Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
Relationship to Participant
Household Information
Household Size
Income Level
Parent or Guardian Military Service
Participant Medical Information
Permission for Treatment by qualified medical professional
Serious Medical History or Allergies
If Yes, Please Explain
Medications (even if taken at home)
If Yes, Please List All Medications
Insurance & Liability Waiver
Participation in Boys & Girls Club activities may involve risk of injury. To my knowledge, I(ormyward) have no health impairment which might interfere with or preclude any participation in Boys & Girls Club activities. As a parent, guardian or participant, I am aware of these hazards and my(or my ward's)ability to participate. I understand that I will assume full responsibility for any accidents, injuries or damage to personal property incurred there by releasing the Boys & Girls of Greater Westfield, its' staff, volunteers and its' directors of all liability. I understand that participation in any recreational, dance or sport activity involves risk. I further understand that the Club maintains an open-door policy with drop in-services and that supervision is provided inside the Club's facility at all times. Occasionally, supervised outdoor programming occurs on the Club's property. This waiver includes any transportation, which maybe provided by the Boys & Girls Club of Greater Westfield, or any other agency involved in its programs. Boys & Girls Club of Greater Westfield reserves the right to suspend, revoke, or deny membership based on Club policies.
Acceptance
Photos & Media
I/we give consent to the use of photos, videos, and testimonials for positive publicity of the program and the Boys & Girls Club.
Acceptance
Code of Conduct
•   Be a good sport (win or lose), be honest, fair and always show good sportsmanship to all coaches, players, officials and fans.

•    Learn the value of commitment to the team.

•    Put personal goals aside for the betterment of the team.

•    Show courtesy and respect to all teammates, parents, opponents and coaches.

•   There will be no alcohol, tobacco, or use of illegal substances at any team function.

•    Players/Coaches/Parents will not engage in unsportsmanlike conduct.

•    Players will not engage in rude behavior on or off the field/court.

•   Players will treat everyone, including coaches, parents, players and officials, with respect regardless of race, creed, color, nationality or gender.

•    Have fun!
Acceptance
Registration Fees
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Instructional Basketball

$50.00 Quantity

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Instructional Basketball Registration

Household Information

Participant Medical Information

Insurance & Liability Waiver

Photos & Media

Code of Conduct

Registration Fees*

Payment Methods

Registration Fees