BOB FOLEY'S NEXT LEVEL BASKETBALL
2010 SUNDAY SKILL CLINIC APPLICATION

Name__________________ e-mail__________________________

Address________________________________________________

Phone_________________ Age___ School____________________

Please check which Sessions you will be attending:

SUNDAY CLINICS $35 in advance/$40 at the door
at the Steward School (ages 11 - 16)   
  
____ February 21 – SHOOTING WORKOUT    12:00 – 2:00
____ February 28 – SCORING SCLINIC   12:00 – 2:00
____ March 7 – OFF SEASON WORKOUT   12:00 – 2:00   
   


Make Checks payable to: Bob Foley's Next Level Basketball
Mail to: 11308 Deephaven Court; Richmond, Va 23233

REFUND POLICY: With prior notification (at least 24 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 ____________________________