subject_line
Winter 2024-25 REGISTRATION SYNERGY BASKETBALL
TEAM SYNERGY: SPRING 2025 Tryouts / Evaluations (are you attending)
*
YES
NO
FREE TRIAL (for players who have never attended our program before)
2hr. session: Skills & Development
Players Full Name
*
Date of Birth
*
Gender
*
Male
Female
Skill Level
*
Beginner
Experienced
Advanced
Age
*
Grade
*
School Name and City
*
SPECIALIZED PROGRAMS
SKILLS & DEVELOPMENT
Opt. 1: Tuesdays (6:30-8:30pm) Bradford Elem. $225
Opt. 2: Thursdays (6:30-8:30pm) Bradford Elem. $225
Opt. 3: Both days, $400
Sanborn *SKILLS & DEVELOPMENT at Swasey Gym. You will receive an email with their separate registration Link.
Sundays (5-8pm) Sanborn HS, NH
Fridays (7:30-9pm) Swasey Gym, NH
Camps & Clinics
Clinics
MLK Clinic: Monday, January 20th, YMCA $100
Private Lessons
One-on-one Training
1 Private Lesson, 1-hour lesson, YMCA, $100
5pk. Private Lessons, 1-hour lessons, YMCA, $400
10pk. Private Lessons, 1-hour lessons, YMCA $800
1 Private Lesson, 2-hour lesson, YMCA, $200
5pk. Private Lessons, 2-hour lessons, YMCA, $800
10pk. Private Lessons, 2-hour lessons, YMCA $1500
Contact Information
1.) Parent / Guardian's Full Name
*
Email
*
Phone number
*
Home Address
*
City
*
2.) Parent / Guardian's Full Name
Email
Phone number
Permission and Liability Waiver
As the parent or legal guardian of the above-named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of your child. I agree to hold Synergy Basketball, LLC harmless for any injury that may result from activities in the Synergy Basketball Program. I, the parent/ guardian assumes all risks and hazards incidental to the conduct of the Synergy Basketball Program activities. I also give my permission for the Synergy Basketball Program to publish, copyright, or use all films and photographs in which my son/ daughter is included for any exhibitions, displays, web pages and publications without reservation or compensation.
*
Powered by