Registration Form
5th Annual
Central Mass Basketball Training
Website: cmbtclinics.com
6 week pre season developmental program focusing on skill improvement hosted by local high school and college coaches.
Clinics
run Sundays, Starting October 16th at Fitchburg High School
Grades 8-12 from 1:00-2:30 --- Grades 3 – 7 from 2:30 – 4:00
2011 CENTRAL MASS BASKETBALL REGISTRATION
FORM
Please fill out and mail to address at bottom.
Player’s Name:
Grade:
Address:
City:
Home Phone Number:
e-mail address:
Waiver of Participation
I know that my participation in sport activities is potentially hazardous and
can cause bodily injury. I clearly understand that, by signing this form and/or
my involvement in Central Mass Basketball Training programs, I assume all risk
for any injury resulting there from. The Central Mass Basketball Program,
coaches or training facility is free from fault. I also understand that the
camp session fee is non-refundable.
________________________________
Parental Signature
______I will attend all 6 sessions Cost $150.00 (T Shirt included)
______I will attend any 3 clinics Cost $80.00
______I will pay as I attend Cost $30.00
Mailing address: Central Mass Basketball Training
40 Gilchrist St
Lunenburg, Ma 01462