Beucler Basketball Academy Registration and Payment - Boys and Girls Grades 2-3
This is a 6 week session for boys and girls grades 2-3. It is designed to help improve overall skills, athleticism, and to learn the game. There will be a limit of 20 athletes. Each session will be 1 hour and will include athletic development, skill training, and teaching the game. Please bring a reversible jersey and if your child does not have one you can purchase one for $25 from me.

Date: February 9, 16, 23 and March 1, 8, 15

Time: 1 PM - 2 PM

Cost: $70

Address: 12883 Heaton Rd. Sardinia, OH 45171

Contact us at 937-515-0208 or
Email address *
Athlete Name *
Your answer
Grade *
Your answer
School *
Your answer
Gender *
Parent/Guardian Name *
Your answer
Phone *
Your answer
Your answer
Waiver and Release
I hereby grant consent for my child to participate in the Beucler Basketball Academy. I authorize the staff to use the best judgement in case of a medical emergency. My typed name below will serve as my signature and I hereby waive and release Beucler LImited LLC, its employees, staff, and any other participants from any and all injuries or illnesses incurred while at the event. I have no knowledge of any physical or mental impairment that would affect the athlete's participation.
Name of Parent/Guardian *
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Date *
Do you want to buy a shirt? *
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Do you need to buy a jersey? *
T-Shirt and Jersey Size
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