19Prep4Rep - $80
Please complete the following form to register your daughter for the Prep 4 Rep sessions held on the following dates:
Date: Monday August 26, Tuesday August 27, Wednesday August 28, Thursday August 29, 2019
Session 1: 7:00 - 8:30 pm Grades 3-6
Session 2: 8:30 -10:00 pm Grades 7-11
Location is East Bayfield Recreation Centre - 80 Livingstone St. East, Barrie
Select the appropriate Session
See the times and grade ranges above. (email if you require an exception to theses ranges)
1 (Gr 3-6)
2 (Gr 7-11)
Please complete the following for the athlete you are registering. If you have additional athletes to register you must submit another form for each athlete you are registering.
Parent / Guardian Information
please enter parent or guardian information for one of the legal guardians with contact information
Emergency Contact name
Emergency contact cell
Payment - $80
Please indicate the method of payment listed below. Cheques payable to Drive North Basketball. Etransfer to
Waiver of Liability
By answering yes to the question below... I hereby authorize my daughter to participate in the DRIVE NORTH BASKETBALL ACADEMY Prep4Rep Program. I authorize the program organizers to act for me in their best judgement in any emergency requiring medical attention. I hereby agree to save harmless the DRIVE NORTH BASKETBALL ACADEMY, its organizers, sponsors, agents, officials and representatives from all liability however caused in connection with taking part in the DRIVE NORTH BASKETBALL ACADEMY PROGRAM.
A copy of your responses will be emailed to the address you provided.
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