Basketball Clinic Led by Melrose HS Basketball

Dates: Starts 9/24/24 and runs for 4 weeks

Time: Tuesdays and Thursdays from 4pm to 5pm

Location: 10 Micro Drive, Woburn Ma

Grades: K-2

Dates: Starts 9/24/24 and runs for 4 weeks

Time: Tuesdays and Thursdays from 5pm to 6pm

Location: 10 Micro Drive, Woburn Ma

Grades: 3-5

Open to all communities!

Basketball Clinic with Melrose HS Basketball

Parent's Name*
First Last
Phone*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Child's Name*
First Last
Child's Name (If Applicable)
First Last
Child's Name (If Applicable)
First Last
Any Allergies or Medical Conditions?*
If multiple children are registering, please indicate which child this relates to.
How Many Students Are You Registering?*
- One Student - $150
- Two Students - $285
- Three Students - $425
Waiver/Indemnification*
Parent(s) or legal guardian must agree below before player is accepted to participate in the Sports Zone 101 programs: As parent/legal guardian of the child named herein, I hereby represent that the child has been examined by a pediatrician and is physically fit to participate in Sports Zone 101 programming. I understand there are inherent risks to participating in this program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation at Sports Zone 101 programs. I further agree to indemnify and hold harmless Sports Zone 101, and its agents, employees and/or representatives, from any and all liability, damage, or expense arising out of my child’s participation at Sports Zone 101. In the event that I cannot be reached in an emergency, I hereby give permission for a qualified Sports Zone 101 staff member, an emergency medical technician, a physician or staff member at a hospital, or any other qualified individual to administer care and provide any medical treatment deemed necessary for my child.
- I have read and agree to the terms of the Sports Zone 101 Waiver Form.
Photo Release*
Sports Zone 101 has my permission to use my or my child's photograph publicly to promote their activities and programs. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
- I consent to the above Photo Release information.
- I DO NOT consent to the above Photo Release information.
Coupon
Total
$0.00