Program Registration Form

Athlete First & Last name

Grade

T-Shirt Size

Parent Name

Phone *include 1

Select Program

June Small Group Drop In (Monday 530p GIRLS, Thursdays 530p or 630p)$40

Summer Individual Drop In Session (indicate date of interest in notes)$40

Summer Drop In 3 Pack *indicate dates of interest in notes)$105

Summer Drop In 5 Pack (indicate day of choice or dates of interest in notes)$175

Summer Drop In ALL Sessions (Mondays and Wednesdays)$300

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

Wednesday Summer Skills n Drills Clinic (Rising 1st - 8th graders)$175

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

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

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.