Clinic Registration

Clinic (*)	Shooting Clinic (7/15) - 5:30pm - 8:30pm - Zimmerman High SchoolBall Handling Clinic (7/22) - 5:300pm - 8:30pm Zimmerman High School Invalid Input
	Clinics are $15 each or $25 when you sign up for both (same time) Register by 6/30 to receive a ZAGBA gift at the clinic
Player Name: (*)	Invalid Input
Feet (*)	Invalid Input
Inches (*)	Invalid Input
School This Fall (*)	Invalid Input
Years of Experience (*)	Invalid Input
Address (*)	Invalid Input
City (*)	Invalid Input
State (*)	Invalid Input
Zip Code (*)	Invalid Input
Parent/Guardian Names (*)	Invalid Input
Home Phone (*)	Invalid Input
Cell Phone (*)	Invalid Input
Work Phone	Invalid Input
Email (*)	Invalid Input
Player Health Concerns:	Invalid Input
	Participant Waiver: I, the undersigned parent or guardian of the above listed player, do agree to all the above listed player to participate in the ZAGBA Summer Clinics and agree to the following: 1) The risk of significant injury from the activities involved exists; 2) I knowingly and freely assume all such risks; and 3) I hereby release and hold harmless the Zimmerman Area Girls Basketball Association and all board members and coaches from and against all liabilities for any injury which may be suffered by the above player arising out of or in any way connected with her participation in the camp.
Photo Waiver	I DO NOT want my child’s picture to appear on our website and/or be submitted to the local papers. Invalid Input
Date (*)	Invalid Input
eSignature of Parent/Guardian (*)	Invalid Input
Verification	Invalid Input

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