HOLIDAY HOOPFEST APPLICATION

Name_________________________________________e-mail________________________________________

 

Address___________________________________________________________________________________

 

School_________________________________ AGE ______ Phone___________________________________

HOLIDAY HOOPFEST
9am – 3pm At The Steward School (ages 6 - 14)
_____ Both Sessions ($225)
_____ Dec. 19, 20, 21, ($140)
_____ Dec. 27, 28, 29 ( $140)
_____ 2 days ($110) ________________ Please write which days you will attend
_____ 1 day ($60) . _________________ Please write which day you will attend

* All clinics are $10 extra if you pay at the door

Make checks payable to: Bob Foley's Next Level Basketball Mail to: 11308 Deephaven Ct ; Richmond , Va. 23233
(804-968-5488)

REFUND POLICY: There will be a $50 non refundable deposit on each application. With prior notification (at least 48 hours), tuition may be transferred to another clinic. If a player fails to show up for a clinic without notification, their tuition is forfeited.

*************Assumption of Liability******************

I understand that this program carries the possibility of physical injury and may involve physical activity that may be strenuous and that there are risks inherent in this recreational activity. I further understand that Next Level Basketball and its officers and agents are not liable for any injuries that may result from the negligence of persons conducting this program. It is recommended that participants secure adequate medical insurance to cover any injuries that may arise from participation in Next Level Basketball's programs.

Pease list any allergies, special conditions, or special needs ______________________________________________________________________________

Parent Signature_____________________________ Work /Cell phone ____________________________