Thursday 10 am Homeschool Basketball Class

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Session I: Thursday, September 10th through Thursday, October 29th

10 am to 11 am

Ages 8-17
Columbia Presbyterian Church, 10001 State Route 108, Columbia, MD 21044

Class Fee:

$200 per student for one 8 week session

$175 per student for two siblings for one 8 week session

$150 per student for three or more siblings for one 8 week session

$35 per student per session if "pay as you go"

Check, Cash, Venmo, Paypal, or Zelle to straightshootersbasketball@gmail.com

Email *

Student First Name *

Student Last Name *

Student Date of birth *

Student Grade *

Parent Email *

Student Residence *

Parent Or Legal Guardian 1 *

Emergency Contact Phone number 1 *

Parent Or Legal Guardian 2 *

Emergency Contact Phone number 1 *

Primary Care or Physician *

Primary Care or Physician Phone Number *

Are there any health problems including physical, psychiatric, or behavioral of which need to be aware? *

Are there any medications, dietary restrictions, allergies, or special needs that we need to be aware of? *

I understand that, as a condition of admittance, as a student, the undersigned, on behalf of all parents and guardians, and on behalf of the applicant, hereby releases Straight Shooters Basketball Training and all other employees or agents of the class from any and all liability from injury or illness, mental or physical, suffered by the student during or related to the class, unless caused by a willful act or gross negligence by the person or entity against whom the claim is made.

Please enter your full name below as agreement of above paragraph.

Payment options: Zelle below, Venmo, Paypal, cash, or check the day of