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IMPACT HKIS Boys JV/Varsity Pre-season Training Registration Form
Please complete this online registration form and forward a completed cheque made payable to
"IMPACT Sports Academy Ltd" to
Unit 3205, 32/F,
W50, 50 Wong Chuk Hang Road,
Hong Kong.
For any enquiries please contact IMPACT Basketball at info@impact-basketball.com
Join Coach Tyler Kepkay and our IMPACT Coaching Team to get in mid-season shape!
High Intensity Pre-season Training for JV and Varsity Players
Period: Sep 3 to Oct 29, 2019. Every Tuesday at 6:30 to 8pm in Middle School Gym, HKIS, Tai Tam. One session per week* -- Program fee: $3,000
*School and Public Holidays excluded.
Please select your high school year *
Required
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent #1 Name *
Your answer
Parent #1 Mobile Number *
Your answer
Parent #1 Email Address *
Your answer
Parent #2 Name
Your answer
Parent #2 Mobile Number
Your answer
Helper Mobile Number
Your answer
HKIS Student? *
Does your child suffer from any allergies? If yes please specify and give medication details *
Your answer
By submitting this form I agree that my child will abide by the rules and regulations. I will not hold HKIS and IMPACT Basketball Academy or their employees responsible for any injury to my child, or damages to property as a result of participation in the course. *
By submitting this form I agree that 50% of the payment will be made to IMPACT Sports Academy Ltd if my child is unable to attend in the program. *
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