Junior Jaguar Basketball Skills Clinic

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Junior Jaguars Basketball Program will be held 6:30-8:00pm September 27th, October 13th, October 20th, November 3rd.

Current school attended. *

Belmont

Clear Creek

Horizon

Mize

Prairie Ridge

Riverview

Starside

Lexington Trails MS

Mill Creek MS

Monticello MS

Other:

Student Name/ Last, First *

Student's Current Grade Level *

2nd

3rd

4th

5th

6th

7th

8th

Grade

Parent/Guardian Name: Last, First *

Parent/Guardian Contact Number: *

Additional Parent/Guardian Contact Number

Parent/Guardian Email Address *

My athlete will be attending *

1-2 Sessions $25

3 Sessions $30

4 Sessions $40

All checks paid to “Mill Valley High School” Memo-Girls Basketball *

I will be mailing check to Mill Valley High School Please address is Attn: Adam Runyan

I will be paying by cash or check at check in

Required

Waiver Statement: The undersigned states that he or she understands that the participant will engage in an athletic activity, and that there is potential risk of injury. The undersigned has examined the potential risks, assumes said risks and understands and agrees to the Jaguar Basketball and Mill Valley High School/DeSoto School District, their members, employees, agents and representatives, are not, and shall not be responsible or liable for illness, injury, or damages to property resulting from the activity in which the participant is enrolling or being enrolled. The participant and the undersigned, hereby forever release and hold harmless the Lady Jaguar Basketball Program and the Mill Valley High School/DeSoto School District, their members, agents and representatives, from any and all claims of any kind that the participant, the undersigned of their respective heirs, executors’ administrators, or assigns may have or claim to have resulting from participating in said activity. Type Parent/Guardian name as Electronic Signature below: *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of usd232.org. Report Abuse

Forms