Online Registration

Participant's Name:

Age:

School Attending:

Skill Level:

T-Shirt Size	Small Medium Large X-large

Parents' Name:

Email:

Home Phone:

Work Phone:

Emergency Contact:

Method of Payment:	Check Cash
	Make checks payable to: NBBF Basketball
	Mail payment to:
		3 Heatherwood Court Greensboro, NC 27407

Electronic Signature:	My child has my permission to participate in the "Nothing But" Basic Fundamentals Basketball Clinic. I understand that he or she will be covered under a limited access insurance policy. By electronically signing this form, I release / waive the "Nothing But" Basic Fundamentals Basketball Clinic staff and the camp staff from any liability resulting from any injury or illness from basketball clinic. My permission is given for the camp staff to seek medical-care for my child in the case of an accident or illness. Please type name below.