Program Registration Form

Athlete First & Last name

Grade

Gender

T-Shirt Size

Parent Name

Phone *include 1

Select Program

Girls Club (GIRLS Grades 2-8) Sept-Dec$750

Travel 6 month program (BOYS grades 3-8) Sept-Feb$1,250

Travel Personal Training Add On (2 sessions per month)$100

Fall Monday Mini Baller (K - 3rd grade)$160

Fall Monday Defend to Score (4th - 8th grade)$175

Fall Monday Offensive Attack (4th - 8th grade)$175

Fall Monday Defense and Offense (4th - 8th grade) 6=8p$325

Fall Tuesday Mini Baller (2nd and 3rd grade)$160

Fall Wednesday Mini Baller (PreK - 1st grade)$160

Fall Wednesday Skills n Drills (3rd - 8th grade)$175

Fall Thursday Develop and Compete (3rd - 5th grade)$200

Fall Thursday Pick-Up Games (3rd - 8th grade)$150

Fall Thursday Pick-Up Games and Wednesday Skills (3rd - 8th grade)$300

Saturday Tryout Prep Drop-In (Middle and High School 6th - 10th grade)$50

Saturday Tryout Prep All Sessions (Middle and High School 6th - 10th grade)$250

Notes/Comments

*In consideration for the privilege to use this facility I agree to assume and hold harmless Fusion School of Basketball LLC, It's facility, staff, owners, property owners, sponsors and any others having an interest in the facility from all liability, negligence, causes of action, claims, demands and damages of every kind which may arise out of my athlete's participation in any and all activities at this facility

*I agree and understand that there are no refunds given for any program, for any reason.