PGC Basketball

Fill out form for your child to participate in our skills & drills basketball program.
The program will operate from October 7-April 28, 2023

* Indicates required field

Student's Name *

First

Last

School *

Grade *

Parent's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Waiver *

As the parent of the child named above, I hereby give my full consent and approval for my team to participate in the Sky High Basketball Program. I hereby certify that my child is fully capable of participating in the designated sport and that my players are healthy and have no mental or physical disabilities or infirmities that would restrict full participation in these activities. In addition to giving my full consent for my child's participation, I do hereby waive, release and hold harmless the organization, it's officers, coaches, supervisors and representatives for any injury that may occur during the course of participation in the designated sport and activities incidental thereto, whether the result of negligence or any other cause.

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Fill out form for your child to participate in our skills & drills basketball program.The program will operate from October 7-April 28, 2023

Fill out form for your child to participate in our skills & drills basketball program.
The program will operate from October 7-April 28, 2023