Silverbacks Winter Programs

Silverbacks Basketball Programs

in Ridgewood @

Shooting Lab (722 E Ridgewood Ave)

Rec Leagues for Boys & Girls 1st & 2nd Graders

Wednesday League

Friday League

Basketball Boot Camp, Skills & Drills

Boys & Girls 1st - 3rd Graders

Saturday Clinic

Girls Only League for 2nd Graders & 3rd Graders

Fridays

Player Information

First Name

Last Name

Gender *

Grade *

Parent Contact

Relationship to Participant: *

Mother

Father

Guardian

Silverbacks Winter Programs ($349)

(3.5% credit card convenience fee)

*

Silverbacks Friday Winter Rec League

Silverbacks Wednesday Winter Rec League

Silverbacks Saturday Winter Basketball Clinic

GIRLS ONLY FRIDAY WINTER LEAGUE

First Name *

Last Name *

Address *

City *

State

Zip

Cell Phone *

Alternate Phone

Email Address *

Additional Info?

WAIVER: I hereby authorize the staff of SHS LLC to act for me according to their best judgment in any emergency requiring medical attention for my child, if I cannot be contacted. In consideration of acceptance of my child, I hereby for myself, my child, theirs heirs, executors and administrators hold harmless, waive and release any claim we may have for damages against the above mentioned organizations, camp operators, their officials, officers, employers or representatives, or their successors and assigns for any and all injuries that may be suffered. I certify that I am parent/guardian of above participant and I am over the age of 18 years. I further agree that the above named parties are under the obligation to provide a physical examination or other evidence of a child's fitness to participate in this program, the same being my sole responsibility. I attest that my child is in sound condition to participate in all activities. I understand by signing this waiver any or all refunds will come in the form of credit. ALL SALES ARE FINAL. No prorating for the leagues.

SIGN BELOW: *

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