Program Registration Form

Athlete First & Last name

Grade

T-Shirt Size

Parent Name

Phone *include 1

Select Program

Spring Break Daily Camp Rate (Indicate date in Notes - April 21-23) Grades 2-5 $65

Spring Break 3-Day Camp Rate (Indicate dates in Notes - April 21-23) Grades 2-5$180

Monday Mini Baller (Kindergarteners) 430p$150

Monday Mini Baller (K and 1st graders) 530p$150

Monday Mini Baller (2nd & 3rd graders) 630p GIRLS ONLY$150

Monday Skills n Drills (1st - 3rd graders) 6p$175

Shooting & Ball Handling Clinic (4th - 8th graders) Mondays 7p$175

Tuesday Mini Baller (2nd and 3rd graders) 5p$150

Wednesday Mini Baller (PreK) 4p$150

Wednesday Biddy League (1st - 3rd graders) Games Only $175

Wednesday Biddy League and Monday Skills n Drills (1st - 3rd graders)$325

Wednesday Skills n Drills (3rd - 8th graders) 7p$175

Thursday Pick Up Games (3rd - 8th graders)$100

Thursday Pick Up Games and Wednesday Skills (3rd - 8th graders)$250

Summer Mini Camp 1 hour (indicate date and time in notes)$35

Summer Mini Camp 1 date (9a-12p) indicate date in notes$80

Summer Mini Camp 1 Session (Tuesday-Thursday) indicate session in notes$225

Summer Mini Camp 2 Sessions (18 hours total) indicate sessions in notes$415

Summer Mini Camp All Sessions Pass$600

Summer Camp Full Week (August 4th - August 8th) Grades 3-7$300

Summer League - Games Only (Rising 1st - 8th graders)$175

Summer League Games and Wednesday Skills (Rising 1st - 8th graders)$300

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.