February Vacation Basketball Clinic

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Players Name *

Grade *

Gender *

Boy

Girl

What Days Are You Attending? *

Weds February 20th

Thursday February 21st

Friday February 22nd

Required

Name Emergency Contact *

Phone Number of Emergency Contact *

Email of Emergency Contact *

Is there anything we should know about the player?

The undersigned parent or legal guardian and player hereby acknowledges that participating in the above February Break Vacation Clinic and its competition carries with it the potential risk of injury, and as such the undersigned hereby assumes the risk of such possible injury. I do understand that there is a risk of injury by participating . I assume financial and legal responsibility for any injury or injuries suffered during participation in the above mentioned basketball clinic. I am aware of the risks and assume the responsibilities associated with participation in the sports listed above. *

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