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
Email address *
Select the appropriate Session
See the times and grade ranges above. (email if you require an exception to theses ranges)
Athlete Information
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.
First Name
Your answer
Last Name
Your answer
Grade entering
Parent / Guardian Information
please enter parent or guardian information for one of the legal guardians with contact information
First Name
Your answer
Last Name
Your answer
Cell phone
Your answer
Your answer
Emergency Contact name
Your answer
Emergency contact cell
Your answer
Payment - $80
Please indicate the method of payment listed below. Cheques payable to Drive North Basketball. Etransfer to drivenorth14@gmail.com
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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