Pro's Vision Basketball Clinic Registration
Register for the basketball clinic(s) on 10/10/2026 and/or 10/24/2026 at St. Margaret's Episcopal School, Campaigne Center Gym. Please complete participant details, acknowledge the waiver and policy, and submit payment.
Participant Information
Participant Name
*
First Name
Last Name
Participant Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant Grade
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College/University
Other
Name of School
*
Current Club Basketball Team
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Clinic Attendance Selection
*
Saturday 10/10/2026 only ($200 drop-in)
Saturday 10/24/2026 only ($200 drop-in)
Both clinics (10/10/2026 and 10/24/2026) ($350 paid in advance)
Liability and Policy Acknowledgement
I acknowledge that participation in the clinic involves inherent risks, including the risk of serious bodily injury, illness, disability, or death. On behalf of the athlete and our family, I release and hold harmless the clinic, instructors, venue, and their officers, employees, and volunteers from any claims or liability arising from participation.
*
I Agree
I acknowledge the no-refund policy. There are no refunds for clinic registration. If the athlete becomes ill or is injured before attending, a credit may be issued for a future clinic or training session.
*
I Agree
Medical Conditions
Does the athlete use an inhaler?
*
Yes
No
Comments
Payment
Clinic Attendance Option
*
One clinic (drop-in)
Both clinics (paid in advance)
Payment
*
prev
next
( X )
One clinic (drop-in)
Registration for one clinic session
$200.00
$
200.00
Both clinics (paid in advance)
Registration for both clinic sessions paid in advance
$350.00
$
350.00
Credit Card
Register and Pay
Should be Empty: