Point Guard College Online Registration

A two-day clinic for the dedicated athlete!

Boys, grades 8 � 12

Girls, grades 8 � 12

Be a part of the Point Guard College Clinic hosted by the Starting 5ive Basketball Organization. Players will be challenged to Think the Game, regardless of position. Point Guard College gives athletes the chance to improve leadership, develop fundamentals, and create an understanding of the game like never before! The clinic will feature four 3-hour sessions which include classroom, video work followed by intense court sessions. Coaches may observe as well. Make it a plan to get ready for the upcoming high school district season by attending the clinic. Register Early (Space will be limited to 48 athletes)

Registrant Information

Name:


First	Last

Address:

City, State Zip:

Phone:

Email:

Parent's Email:

Gender:

Position:

Height:

School:

Coach:

Emergency Contact Name:

Emergency Contact Phone:

Do you have medical insurance?:

Health Insurance Company:

Policy #:

What level do you play this year?:

Have you attended a PGC session before?:

If so, where and when?:

Comments:

Total number of registrants:

Your total price, shown on the next page, will equal the number of registrants multiplied by the value of your package.

Point Guard College Registration

$192.00

Point Guard College Early Athlete Registration Early Registration Discount: $185 - If paid in full by November 9th; Lunch included for both days $7.00 transaction fee applicable for all online registrations
December 21 - 22, 2009	8:00 am - 4:00 pm

Coach's Fee

$68.00

Observing Coaches' Fee $65.00 Observing Coaches' Fee, Lunch included both days; $3.00 transaction fee for all online registrations.
December 21 - 22, 2009	8:00 am - 4:00 pm

Observer's Fee

$68.00

Observers/Parent Fee $65.00 for any parent or family member interested in observing. Lunch included. $3.00 transaction applicable to all online registrations
December 21 - 22, 2009	8:00 am - 4:00 pm

WAIVER:
I, the undersigned parent/guardian of the individual named above, do hereby permit my player 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, Katy ISD, Point Guard College, DE10, LLC, their directors, staff, coaches, heirs and executors from any and all liability resulting from my player�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.

I have read and agree to all terms and conditions above

Parent or Guardian Initials for Consent