Prosper Basketball Veterans Day Clinic
Player’s full name
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First Name
Last Name
School
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Name
First Name
Last Name
Player’s Gender
Please Select
Girl
Boy
Player’s grade
*
Please Select
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Parent/guardian’s full name
*
First Name
Last Name
Parent’s email
*
example@example.com
Parent’s phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/guardian waiver agreement and signature
*
🏀 Prosper Basketball Veterans Day Clinic Liability Waiver & Parent/Guardian ConsentI understand that participation in the Prosper Basketball Veterans Day Clinic involves physical activity and potential risks of injury.By registering my child, I voluntarily acknowledge these risks and give permission for my child to participate.I agree to release Prosper Basketball Training, its coaches, and staff from liability for injuries arising from participation, to the extent permitted by law.In case of an emergency, I authorize Prosper Basketball staff to seek appropriate medical assistance if I cannot be reached.
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Veterans Day Clinic Registration
$85.00
$
85.00
Quantity
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10
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
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Expiration Month
Expiration Year
2026
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