Basketball Registration- Winter Skills Clinic 2023

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Friday December 29th

$20 per Individual

Team discounts of $15 per individual are available if you register with 5 or more of your teammates.

1-3pm

Email *

Participant Last Name, First Name *

Are you registering with teammates? If so, list them below. *

Grade *

Grade School *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Payment: $20 per individual or $15 if you sign up with 5 or more teammates *

Make Checks Payable to Rick Hetzel or Jake Kupersmith

Venmo: @STASaints_BoysBB (Jake-Kupersmith)

Required

Waiver: I give permission for my child to participate in the 2023 Saint Thomas Aquinas Winter Basketball Skills Academy. I understand that I must provide insurance coverage for my student and acknowledge that Saint Thomas Aquinas High School and any agents involved with the aforementioned academy shall be held harmless in the event of injury, illness or loss of equipment related to the program. *

I agree

Required

Signature *

A copy of your responses will be emailed to the address you provided.

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