Patriot Basketball Boys Preseason Clinic Registration
Register here for Patriot Basketball's Boys Preseason Clinic on Saturday and Sunday, October 1st and 2nd from 4:00p - 7:00p at Concord-Carlisle HS
  • Tuition is $150
  • Payment can be made via Venmo @PatriotBasketball (last 4 digits 3278) and should be completed prior to the first clinic 
  • Participants can also bring a check payable to Patriot Basketball to the first session
  • Players should bring a refillable water bottle
Sign in to Google to save your progress. Learn more
Email *
Player Name *
Player Grade *
Required
Parent Name *
Phone Number *
Parent Name (2) *
Phone Number (2) *
Emergency Contact and Phone Number *
Does your child have a medical condition? *
By checking this box, I allow Patriot Basketball to seek medical treatment for my child in the event of an emergency. Every attempt will be made to reach parents if a situation arises. *
By checking this box, I hereby give my permission for the above registrant to participate in a basketball clinic run by Patriot Basketball, Inc. I understand that participation in Patriot Basketball, Inc. clinics by the child listed above involves a certain degree of risk that could result in injury, death or loss or damage to a person or property. After carefully considering the risk involved, I hereby release, hold-harmless and waive all claims associated with this activity that I may have against Patriot Basketball, Inc., its employees, officers, directors, agents, volunteers and members. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Patriot Basketball, Inc.. Report Abuse