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Email *
Player's First Name (One form per child) *
Player's Last Name (One form per child) *
School grade AS OF FALL 2023 *
Cost is $175.  Please indicate your method of Payment *
SUMMER LEAGUE GAME JERSEY SIZE: Jerseys are ordered exactly as you request.  No exchanges!) - JERSEY SIZE NOT GUARANTEED IF REGISTER AFTER MAY 15TH *
Name of parent / guardian *
Email *
Street Address *
Town *
Home Phone *
Parent Cell Phone *
I authorize the Director / Coach of Elevation Basketball Academy to act according to his best judgment in any emergency medical situation. Please include note explaining any medical conditions.The participant attending the Clinics, and in using the facility, does so at his/her own risk. The ELEVATION BASKETBALL ACADEMY and its staff shall not be liable for damage arising from personal injury sustained by the participant during the clinics. The participant and his/her parents assume full responsibility for any damages or injuries which may occur and so hereby exonerate the Elevation Basketball, the site location of the clinics and practices, and all employees from any and all claims. Also I/We hereby consent to the participation of our son/daughter in the Elevation Basketball Academy. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) * *
COVID-19/ WARNING & DISCLAIMER: Covid-19 is a contagious virus that spreads through person-to-person contact.  Federal and state authorities recommend social distancing.  Covid-19 can lead to illness, personal injury, disability and possibly death.  Participation in this program could increase the possibility of contracting Covid-19.  Elevation Basketball Academy in no way warrants that Covid-19 infection will not occur through participation in this program.  (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) * *
Please read the Elevation Basketball Cancellation policy below carefully.  (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THIS POLICY)   REFUND POLICY: There will be no refunds, but credits will be issued in some circumstances (minus the $35 registration fee) including injuries and other extenuating (non-pandemic related circumstances).  Prorated refunds relating to the Covid-19 pandemic will be issued if the Governor shuts down Youth Sports.  If the season can no longer carry on for everyone, then prorated refunds will be issued. If an individual family chooses to withdraw from the program by their own accord and not due to an order from the Governor, no refunds will be issued. *
Photos  & Videos: During the course of an event Elevation Basketball Academy may take photos or videos for use on their website.  Is this ok? *
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