SPDBasketball Fall 2025 Afterschool Clinics @ OTES
Registration Form
  • Fall 2025 Dates: Clinics will be held from 3:30-4:30pm on the following Thursdays: 9/18, 9/25, 10/2, 10/9, 10/16, 10/30, 11/06, 11/13, 11/20
  • Location: OTES Gym
  • Cost: $165
  • Methods of Payment: Payment can be made by Zelle, check or cash. If you use Zelle, please send payment to spdbasketball@gmail.com. Checks (made payable to Burke Basketball) and cash should be sent to or dropped off at 10325 Kensington Pkwy #83, Kensington, MD 20895, the Kensington Post Ofice. 
  • Your student's space in the clinics is not reserved until payment is received.
  • Minimum 10 students. Maximum 20 students. 
  • If you have any questions please do not hesitate to email, SPDBasketball@gmail,com.

          Thank You!


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Student's Last Name *
Student's   First Name *
Student's Gender *
Student's  Address *
Student's School *
Student's Grade, 2024-25 School Year *
Student's Home Room Teacher *
Name - Parent 1 *
Email - Parent 1 *
Phone - Parent 1 
xxx-xxx-xxxx
 *
Emergency Contact Name (different from Parent 1) *
Emergency Contact Number(different from Parent 1 #)
xxx-xxx-xxxx
 *
Please list any health issues your student has of which  SPDBasketball should be aware *
Persons authorized to pick up student *
By checking this box, I confirm that I, Parent 1, is a  custodial parent or legal guardian of the registered player *
Required
Electronic Signature of Parent 1 *

Participation Waiver Form

 *


   Burke Basketball, LLC d/b/a SPDBASKETBALL (“SPDBasketball”) has implemented precautions to minimize risks to participants. However, I understand that participation in youth sports poses an inherent risk of injury, including due to other participants’ conduct; weather; premises and equipment; and supervision, instruction, or officiating. I understand that it is not possible to remove all risks associated with participation in youth sports. I assume the risk of all injuries, damages or loss that my child or I may sustain as a result of participation in or attendance at SPDBasketball activities taking place at Siena or otherwise. 

   I agree to release, hold harmless, and covenant not to sue SPDBasketball, including its officers, employees, agents, volunteers, chaperones, insurers, and representatives, from any claims arising from, or in connection with, my child’s or my own attendance at and participation in SPDBasketball sports and activities, including any claims for illness, personal injury, disability, or death; any claims for any cost of medical treatment, financial loss, or expense; any claims based on the acts, errors, omissions, or negligence of the SPDBasketball including its officers, employees, agents, volunteers, chaperones, insurers, and representatives; or any other claims whatsoever.

COVID-19

   SPDBasketball has implemented precautions, based upon available guidance from public health agencies, to minimize risks to participants relating to COVID-19; however, I understand that the nature of basketball makes it impossible to consistently ensure physical distancing of 6 feet or more or otherwise eliminate all risks to participants. I understand that my child’s or my own participation in this activity may therefore include possible exposure to infectious diseases (including, but not limited to, COVID-19) and the risk of serious illness or death.

   I knowingly and freely assume all such risks and assume all responsibility for my child’s and my own participation, and I agree to release, hold harmless, and covenant not to sue Siena as well as SPDBasketball, including its officers, employees, agents, volunteers, chaperones, insurers, and representatives from any claims arising from, or in connection with exposure to or transmission of COVID-19 during SPDBasketball activities. I acknowledge that I am responsible to ensure that my child and I will comply with SPDBasketball’s terms and conditions for participation in this activity and as may be updated from time to time in SPDBasketball’s discretion, including to conform with applicable governmental requirements, CDC guidance, and/or SPDBasketball requirements and guidance. Noncompliance may result in my child or myself being removed from participation and prohibited from returning to the activity, with no refund being issued.

I HAVE READ AND UNDERSTAND THIS WAIVER AND REALIZE IT RELATES TO SURRENDERING AND RELEASING VALUABLE LEGAL RIGHTS AND DO SO FREELY AND VOLUNTARILY.
Required
How did you learn about the SPDBasketball Player Development Program? *
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