2024 SEASON PASS

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2024 SEASON PASS

Please complete one form per child

Email *

Player's First Name *

Player's Last Name *

Current School Grade *

Name of parent / guardian *

Street Address *

Town AND Zip Code *

Parent Cell Phone *

Home Phone *

Please indicate which season pass you are registering for: *

Plan A ($1300)

Plan B ($800)

Required

Please indicate method of payment - FULL PAYMENT IS DUE BY 12/31 *

Venmo (@Rick-Kilpatrick)

Cash or Check (mail check to Elevation Basketball, C/O Rick Kilpatrick, 5 B Street, Maynard, MA 01754)

PayPal (please add $20 convenience charge to your payment to cover cost of all PayPal fees)

Refund Policies: Payment to secure your child's spot is non-refundable. If the program is shut down due to a declaration from the Governor, prorated refunds will be given to all players. Refunds will not be given for a family choosing to withdraw their child. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) *

COVID-19/ WARNING & DISCLAIMER: Covid-19 is a contagious virus that spreads through person-to-person contact. Federal and state authorities recommend social distancing. Covid-19 can lead to illness, personal injury, disability and possibly death. Participation in this program could increase the possibility of contracting Covid-19. Elevation Basketball Academy in no way warrants that Covid-19 infection will not occur through participation in this program. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) * *

I authorize the Director and Coaches of Elevation Basketball Academy to act according to his best judgment in any emergency medical situation. Please include note explaining any medical conditions.The player's participation and use of facilities, is done so at his own risk. Elevation Basketball Academy and its staff shall not be liable for damage arising from personal injury sustained by the participant during the clinics. The participant and his/her parents assume full responsibility for any damages or injuries which may occur and so hereby exonerate Elevation Basketball Academy, and the proprietors of all facilities used, their staff, and their employees from any and all claims.Also I/We hereby consent to the participation of our son/daughter in the Elevation Basketball Academy. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) *

Photos & Videos: During the course of an event Elevation Basketball Academy may take photos or videos for use on their website. Is this ok? *

Yes

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