Clone of Welcome to Growth Academy Registration

1
Player Information* This field is required.
Player's Name
Player Age
Parent/Gurardian Name
Please enter your email
Please enter your phone number
Which club does the player currently play for?
Please Select
Please Select
Center/Power Forward
Guard/Wing
Multiple Positions
Primary Position?
Please Select
Please Select
Less than 1
1-2
3-5
5+
Years playing basketball?
2
Gear Size?* This field is required.
Please Select
XS
S
M
L
3
What do you hope your child gains from this clinic?* This field is required.Helps us understand your child’s current focus and development needs
Improve confidence
Playing with physicality
Make better offensive reads
Improve defense
Rebounding
Finishing around the rim
Improving footwork
Other
4
Medical & Safety Information* This field is required.Are there any allergies or medical conditions we should know about?
Please answer yes or no here. If yes, please provide further detail.
Please enter your Emergency Contact number here
5
Agreement & Consent* This field is required.
I confirm my child is physically fit to participate in basketball training
I understand participation involves a risk of injury and accept responsibility for my child’s participation
I acknowledge Box Out Academy and its representatives are not liable for injury, loss, or damage except in cases of negligence
I understand my child is being placed into a fixed weekly training program
I consent to Box Out Academy using images/videos for coaching and promotional purposes
I understand that this is an intensive basketball development clinic designed for players aged 14+
6
How did you hear about this clinic?
Instagram
Facebook
Friend/Referral
Basketball Club
Other
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