Register for Black Friday Clinic

25%

Emergency Contact
Emergency Contact #1*
First Last
Relationship to Player*
Phone Number*
Emergency Contact #2*
First Last
Relationship to Player*
Phone Number*
Medical Conditions / Allergies
NOTE: If you're registering more than one player, please make a separate paragraph for each applicable player.

Release from Liability
Liability Release*
- I Agree
- I do not Agree
Recognizing that Downingtown Area Summer Hoops, Inc. will do its best to ensure a safe experience, I understand that accidents may occur from my child’s participation in the program. I agree to assume these risks. By signing below, I release Downingtown Area Summer Hoops, Inc. its employees, volunteers, independent contractors, directors and agents from all liability, caused to my child or to me during participation in the Downingtown Area Summer Hoops, Inc. Downingtown Area Summer Hoops, Inc. reserves the right to terminate playing eligibility without refund for any participant or guardian who is not compliant with the sportsmanship message set forth by the league. I also agree and allow my child’s image to be used in any marketing/advertising that is published and distributed by Downingtown Area Summer Hoops, Inc.

Parent's Information