FALL 2024 REGISTRATION SYNERGY BASKETBALL

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FREE TRIAL (for players who have never attended our program before)

2hr. session: Skills & Development

Date of Birth *

Gender *

Male

Female

Skill Level *

Beginner

Experienced

Advanced

School Name and City *

Age *

Grade *

Players Full Name *

TEAM SYNERGY

TEAM SYNERGY Package

Option 1: Team + 1 day, Mill Works ($675)

Option 1: Team + 2 days, Mill Works ($850) save $150

Option 2: Team + 1 day, Bradford Elementary ($675)

Option 2: Team + 2 days, Bradford Elementary ($850) save $150

Option 3: Team + Sanborn Pre-Season sessions ($350)

Option 4: Team + 5 Private Lessons ($650)

Option 5: Unlimited Package ($1050)

TEAM SYNERGY UNIFORM SIZE (Includes 2 Uniform Sets and Ball Bag: $155) *

Preferred Jersey Number

SPECIALIZED PROGRAMS

MIX IT UP

Mondays (6:30-8:30pm) Mill Works, Ma - $325

3pc. COMBO

Wednesdays (6:30-8:30pm) Millworks, Ma - $325

SKILLS & DEVELOPMENT

Option 1: Tuesdays (6:30-8:30pm) Bradford Elementary, Ma - $325

Option 2: Thursdays (6:30-8:30pm) Bradford Elementary, Ma - $325

Option 3: Both days, $600 (Save $100)

Sanborn *SKILLS & DEVELOPMENT at Swasey Gym. You will receive an email with their separate registration Link.

Mondays (6-7:30 & 7:30-9p) Swasey Gym, NH

Wednesdays (6-7:30 & 7:30-9p) Swasey Gym, NH

Camps & Clinics

Clinics

Holiday Clinic: Friday, December 27th, YMCA $100

MLK Clinic: Monday, January 20th, YMCA $100

Winter (MA) Break Clinic: Friday, February 21st, YMCA $100

Winter (NH) Break Clinic: Friday, February 28th, YMCA $100

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. *