FROGS All-Star Basketball Registration
4 week program for Term 3 2017
Dates starting: Monday 31st July, 7th August, 14th August and 21st August
Time: 5:00pm - 5:45pm
Cost: $8 per additional session includes a FREE basketball when attending all sessions; pre-payment is required to organize the coaches required
Participant First Name
Date of Birth
Parent / Guardian Name
Medical Conditions / Notes
All Sessions includes FREE basketball (total $32)
Monday 31st July ($8 per session)
Monday 7th August ($8 per session)
Monday 14th August ($8 per session)
Monday 21st August ($8 per session)
Credit Card (we will give you a call to process payment)
Bank Deposit (details will be emailed to you)
Please note that by submitting this registration you agree to the following. I the parent/guardian of the above named child give permission for him/her to participate in these clinics. In the event of any illness or incident where it is impractical to communicate with me, I authorize the organizer / coaches, on my behalf, to seek medical assistance as my child may require, including ambulance travel, anaesthetic, blood transfusion and surgical procedures. I accept responsibility for payment of any expenses incurred. I acknowledge that my child may be injured in the course of the clinics and I understand and voluntarily accept the risk and agree that I will not hold the organizer / coaches to be liable for any injury including without limitation, personal, bodily or mental injury and economic loss. If there is any claim in relation to my child based on an injury, I agree to indemnify the organizer / coaches for all liabilities resulting from such claims. I agree to my child’s photo being used for promotional purposes.
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