2023-24 Monday Night Skills Registration
Monday Night Skills runs at CCHS starting December 11th through February 12th from 7:30 - 8:30pm for boys in Grades 6-8
  • Tuition for the clinic is $250
  • Space is limited to 30 players total

Please complete the form below. Payment can be made by Venmo at www.venmo.com/PatriotBasketball or by bringing a check payable to Patriot Basketball to the first session. If you have any other questions, please email aaron@patriothoopclinics.com.

Registration is complete upon payment. Players do not need to submit a physical or immunization record for the clinic. Unfortunately, we cannot prorate the tuition for this program. 
Sign in to Google to save your progress. Learn more
Email *
Player First Name *
Player Last Name *
Player Grade *
Parent Name *
Parent Name (2)
Phone Number *
Phone Number (2)
Emergency Contact Name and Number (not listed above) *
Please describe any medical alerts for your child *
By checking this box, I allow Patriot Basketball to seek medical treatment for my child in the event of an emergency. Every attempt will be made to reach parents if a situation arises. *
By checking this box, I hereby give my permission for the above registrant to participate in a basketball clinic run by Patriot Basketball, Inc. I understand that participation in Patriot Basketball, Inc. clinics by the child listed above involves a certain degree of risk that could result in injury, death or loss or damage to a person or property. After carefully considering the risk involved, I hereby release, hold-harmless and waive all claims associated with this activity that I may have against Patriot Basketball, Inc., its employees, officers, directors, agents, volunteers and members. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Patriot Basketball, Inc.. Report Abuse