STARTING 5IVE BASKETBALL ORGANIZATION

POINT GUARD COLLEGE CLINIC

(MEMORIAL PARKWAY JUNIOR HIGH, KATY, TX)

December 21 – 22, 2009

Check-in begins at 8:00 am, Lunch will be provided from 12:00 – 1:00 pm on December 21st and 22nd

Session 1 – How to Get to the Paint Against a Bigger, More Athletic Defender: Monday, December 21st from 9:00 am - 12:00pm

Session 2 – How to Finish at the Rim with Consistency: Monday, December 21st from 1:00 pm - 4:00 pm

Session 3 – Make the Right Reads on Penetration: Tuesday, December 22nd from 9:00 am - 12:00 am

Session 4 – Basketball Essentials: Tuesday, December 22nd from 1:00 pm - 4:00 pm

What to bring for your Point Guard College Clinic:

A Basketball, a notebook and pens/pencils

Your medical card (or a copy - both front and back)

Athletes: $200.00 Coaches: $65.00 Observers/Parents: $65.00
 
Coaches may attend free if bringing 2 or more players.

$200 Athlete’s Fee by December 7th – After December 7th – Athlete’s Fee - $225 Early Registration Discount: $185 - If paid in full by November 1st Only $100.00 Deposit Holds Your Spot, Balance due by December 7th.

For more information contact:

Starting 5ive Basketball Organization

Email: wegotnext@starting5pros.com or phone: (281) 222-7468

Please cut off bottom section
Make checks payable to Starting 5ive Basketball with notation for PGC Clinic and return to:
Starting 5ive Basketball, 9203 Hwy 6 South, #124, PMB 147, Houston, TX 77083

PCG Clinic
REGISTRATION FORM:

Name: ____________________________________________________________________________ Gender: M / F Position: ________ Height: _______

Address: ___________________________________________________________________ City: ________________ State: _____ Zip: ________________

School: ___________________________________________________________________________ Coach: ______________________________________

Parent’s Email: _________________________________________ Athlete’s Email: ________________________________ Tel #: (___)__________________

Emergency Contact: _____________________________________ Emerg. Contact #: ________________________________ Paid: $_____________.00

Health Insurance Company: _____________________________________________________________ Policy #: ________________________________

What level will you play this year? (Circle one) HS Varsity HS JV HS Freshman Other: _________________________________________________________

Have you attended a summer PGC session before? Y / N If so, where and when? ______________________________________________

WAIVER:

I, the undersigned parent/guardian of the individual named above, do hereby permit ___________________ to participate in Point Guard College and certify that the Athlete’s physical condition is sufficient for full participation in the Point Guard College Clinic. I understand that the Athlete’s participation involves an element of risk and danger of accidents. Knowing those risks, I hereby assume those risks. I hereby release and discharge Starting 5ive Basketball, Point Guard College, Katy ISD, their directors, staff, coaches, heirs and executors from any and all liability resulting from _________________’s participation in any aspect of the Clinic. I hereby assume responsibility for any and all costs associated with treatment for any injury or health issue that arises during participation in the Clinic. In the absence of a parent/guardian’s signature below, payment of fees and participation in the program shall constitute acceptance of the conditions set forth in the release.

____________________________________ ______________________________________ _________________

Athlete’s Name (please print)                                             Parent/Guardian Name                                                           Date

____________________________________ ______________________________________ _________________

Athlete’s Signature                                                             Parent/Guardian Signature                                                      Date