Email *
Player Name(s) *
Current Grade(s) *
Which Program are you registering? *
Method of Payment *
Name of parent / guardian *
Email *
Street Address *
Town and Zip Code *
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 Cancela;tion policy below carefully. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THIS POLICY) REFUND POLICY: For refunds up to two weeks before the beginning of any Elevation Basketball Academy program, there will be a $35 non-refundable registration/administration fee deducted from the refund. For withdrawal within one week of the start of any program and beyond, there will be no refunds, but credits will be issued in some circumstances (minus the $30 registration fee.) Withdrawals can include injuries and other extenuating circumstances. *
Photos & Videos: During the course of an event Elevation Basketball Academy may take photos or videos for use on their website. Is this ok? *
Never submit passwords through Google Forms.
This form was created inside of Acton-Boxborough Regional School District. Report Abuse