Student's Name *

First Name

Last Name

Teacher Name *

First Name

Last Name

Second Child Name

First Name

Last Name

Second Child Teacher Name

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Terms & Conditions *

MEDICAL RELEASE: Participation in all sports can be inherently dangerous, however; I understand that the best will be done to ensure the safety of all participating individuals. Basketball demands cardiovascular fitness, coordination, and agility. Although many risks can be avoided, I understand that not all risks can be avoided and release 4 The Kids Basketball Academy from responsibility for any injury that my child might incur during normal play. I further understand that in the event of a medical emergency, 4 The Kids Basketball Academy will call EMS to render assistance and that I will be financially responsible for any expenses involved. PHOTO WAIVER: I do hereby consent and agree that 4 The Kids Basketball Academy has the right to take photographs and video of my child during 4 The Kids Basketball Academy sessions. These photos and video may be used on the company website (www.4thekidsbasketball.com), company social media pages, and promotional material without compensation. I understand that my child’s name and identity will not be revealed. If you would prefer, we not take photographs or video your child, please notify us via e-mail. REFUNDS: 4 The Kids Basketball Academy will not issue refunds for non-attendance at a scheduled class. We reserve the right to cancel any program due to insufficient enrollment, upon cancellation, a full refund will be made. ARRIVAL & DISMISSAL: Children will be picked up in the front office and escorted to the practice area by a coach. At the end of the session each child will be escorted to the car line by a coach.

I Agree

Name *

First Name

Last Name

Second Students Name (If Applicable)

First Name

Last Name

Name *

First Name

Last Name

Terms and Conditions *

1. SUBSCRIPTION: a. Once you select the registration, PLEASE BE AWARE THAT THERE WILL BE AN EQUIVALENT RECURRING CHARGE EACH MONTH. 2. CANCELLATION/REFUNDS: a. Refunds will not be issued for non-attendance at a scheduled class. b. Refunds will be applied when a request for withdrawal of a child is received in writing 30 days prior to the start of the next month’s session. c. Please provide 30-day notice in writing for any cancellation. 3. SAFETY: Participation in all sports can be inherently dangerous and while we do our best to ensure the safety of all participating individuals, it is impossible to guarantee. Basketball demands cardiovascular fitness, coordination, and agility. Although many risks can be avoided, I understand that not all risks can be and release 4 The Kids Basketball Academy from responsibility for any injury that my child might incur during normal play. I further understand that in the event of a medical emergency, 4 The Kids Basketball Academy will contact emergency services to render assistance and that I will be financially responsible for any expenses involved. 4. MARKETING: I do hereby consent and agree that 4 The Kids Basketball Academy has the right to take photographs and video of my child during 4 The Kids Basketball Academy sessions. These photos and video may be used on the company website (www.4thekidsbasketball.com), company social media pages, and promotional material without compensation. I understand that my child’s name and identity will not be revealed. If you would prefer we not take photographs or video of your child, please notify us via e-mail.

I Agree

Student's Name *

First Name

Last Name

Teacher Name *

First Name

Last Name

Second Child Name

First Name

Last Name

Second Child Teacher Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Phone *

(###)

###

####

Terms & Conditions *

MEDICAL RELEASE: Participation in all sports can be inherently dangerous, however; I understand that the best will be done to ensure the safety of all participating individuals. Basketball demands cardiovascular fitness, coordination, and agility. Although many risks can be avoided, I understand that not all risks can be avoided and release 4 The Kids Basketball Academy from responsibility for any injury that my child might incur during normal play. I further understand that in the event of a medical emergency, 4 The Kids Basketball Academy will call EMS to render assistance and that I will be financially responsible for any expenses involved. PHOTO WAIVER: I do hereby consent and agree that 4 The Kids Basketball Academy has the right to take photographs and video of my child during 4 The Kids Basketball Academy sessions. These photos and video may be used on the company website (www.4thekidsbasketball.com), company social media pages, and promotional material without compensation. I understand that my child’s name and identity will not be revealed. If you would prefer, we not take photographs or video your child, please notify us via e-mail. REFUNDS: 4 The Kids Basketball Academy will not issue refunds for non-attendance at a scheduled class. We reserve the right to cancel any program due to insufficient enrollment, upon cancellation, a full refund will be made. ARRIVAL & DISMISSAL: Children will be picked up in the front office and escorted to the practice area by a coach. At the end of the session each child will be escorted to the car line by a coach.

I Agree

Name *

First Name

Last Name

Second Students Name (If Applicable)

First Name

Last Name

Name *

First Name

Last Name

Terms and Conditions *

1. SUBSCRIPTION: a. Once you select the registration, PLEASE BE AWARE THAT THERE WILL BE AN EQUIVALENT RECURRING CHARGE EACH MONTH. 2. CANCELLATION/REFUNDS: a. Refunds will not be issued for non-attendance at a scheduled class. b. Refunds will be applied when a request for withdrawal of a child is received in writing 30 days prior to the start of the next month’s session. c. Please provide 30-day notice in writing for any cancellation. 3. SAFETY: Participation in all sports can be inherently dangerous and while we do our best to ensure the safety of all participating individuals, it is impossible to guarantee. Basketball demands cardiovascular fitness, coordination, and agility. Although many risks can be avoided, I understand that not all risks can be and release 4 The Kids Basketball Academy from responsibility for any injury that my child might incur during normal play. I further understand that in the event of a medical emergency, 4 The Kids Basketball Academy will contact emergency services to render assistance and that I will be financially responsible for any expenses involved. 4. MARKETING: I do hereby consent and agree that 4 The Kids Basketball Academy has the right to take photographs and video of my child during 4 The Kids Basketball Academy sessions. These photos and video may be used on the company website (www.4thekidsbasketball.com), company social media pages, and promotional material without compensation. I understand that my child’s name and identity will not be revealed. If you would prefer we not take photographs or video of your child, please notify us via e-mail.

I Agree