Your Choice Player Registration Form
Please print this form and mail with payment to:
Your Choice
36 Park Drive
Albany, NY 12204
Make checks payable to: 'Your Choice'
| Player's Name | ___________________________________________________ |
| Parent's Name | ___________________________________________________ |
| Street | ___________________________________________________ |
| City | ___________________________________________________ |
| Zip | ___________________________________________________ |
| Home Phone | ___________________________________________________ |
| Cell Phone | ___________________________________________________ |
| ___________________________________________________ | |
| School | ___________________________________________________ |
| Grade | _____________________ |
| Age | _____________________ |
| Emergency Contact | |
| Name | ___________________________________________________ |
| Phone | ___________________________________________________ |
| Please Choose One: | |
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Private - Individual
________ 6 Sessions - 45 minutes per session - $210.00 ________ 1 Session - 1 Hour - $50.00 -OR- Semi-Private - 2 Players________ 6 Sessions - 45 minutes per session - $180.00/player |
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Liability Waiver
I understand there is a possibility of accident during sports training workouts and I assume the risk and responsibility while my child receives basketball lessons from Your Choice. I consent to emergency care as deemed necessary by Your Choice and/or a medical professional. Parent/Guardian (Please print name): ___________________________________________________ Signature: ___________________________________________________ Date: ______________________ |
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