Venice Basketball Club Combine
Saturday, April 20 Registration

10 AM Ages 10 - 14
12 PM ages 15 - 17
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Email *
Athlete Full Name *
Athlete Gender *
Athlete Age *
Athlete DOB *
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DD
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YYYY
Athlete Cell *
Athlete Grade *
What are your athlete's goals for development both on and off the basketball court?
Parent/Legal Guardian Full Name *
Full Name of Athlete's Emergency Contact *
Emergency Contact Cell Number *
Full name of parent/legal guardian responsible for pickup
 *
Contact number of parent/legal guardian responsible for pickup
 *
Please carefully read the following to assure a safe and enjoyable Combine experience:

I am registering the above-named minor as a Attendee (“Attendee”) in the Venice Basketball Club Combine sponsored by Veniceball (the “Combine”).  I understand that the Attendee’s participation in the Combine will involve periods of strenuous activity, including but not limited to participation in basketball drills and basketball scrimmages. I am the parent or legal guardian of the Participant, and hereby provide permission for the Participant to participate in all Combine activities.  Any concerns or questions regarding participation in Combine activities or otherwise should be directed to Sam at sam@veniceball.com. 
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Required
I acknowledge a parent or legal guardian must sign a General Waiver and Photo Release at registration for each "attendee" in order to participate.
 *
Required
Is there any health information you would like us to be aware of about the participant?
Is there any other information you would like us to be aware of about the participant?
How did you hear about the Veniceball Club?
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