3 Weeks-Summer Morning Basketball Camp

Registration Fee:

July 1st- July 19th Time: 9 a.m. - 12 p.m.

Weekly Price: $ 125.00 per athlete Entire 3 Weeks: $ 300.00 per athlete

How Did You Hear About Us? *

Child's First Name *

Child's Last Name *

Gender *

Female

Male

Age *

Shirt Size *

Child's Date of birth *

Mother's Information

Mother's First Name

Mother's Last Name

Mother's Cell Phone

Mother's Address

Mother's Work Phone

Mother's Email

Accept to receive marketing news by email.

Place of Employment

Father's Information

Father's First Name

Father's Last Name

Father's Work Phone

Father's Cell Phone

Father's Address

Father's Email

Accept to receive marketing news by email.

Place of Employment

Emergency Contact

First Name *

Last Name *

Phone *

Email *

Accept to receive marketing news by email.

Medical information

Does the child have allergies? *

Yes

No

If yes, specify.

Does the child have any medical conditions? *

Yes

No

If yes, specify.

Medical Release:

I hereby authorize the adult staff of MHB to act on my behalf according to their best judgment in any emergency situation requiring medical attention and I hereby waive and release MHB and their staff

and affiliates from any and all liability for any injuries or illnesses incurred while at class. I have NO KNOWLEDGE of any physical impairment or otherwise that would prevent my child from participation in the class, and according to our family physician my child is fit to participate in all camp activities.

*

Yes, I agree

Liability Waiver:

I/We, the undersigned, our heirs,
executors and administrators, waive, release, and forever discharge MHB and its staff, from all rights and claims for damages, injury, or loss to
person or property which may be sustained during participation in class activities or while at class. In agreeing to this Release the undersigned hereby acknowledges and represents that they are
aware of the risks and hazards inherent in participating in this program, and
that no insurance covering accident or injury has been provided for the
participants, and that arrangements for any such insurance should be made individually by the undersigned.

*

Yes, I agree

Likeness Waiver:

By agreeing to this, I agree to allow any photos
taken by MHB to be used in any marketing the company may undertake.

*

Yes, I agree

Location:

MHB Shooting Academy Indoor Facility is located on Thompson Boulevard at the rear of JCN (Jones Communication) which is the former Coca-Cola.

Drive to the REAR of JCN through the gates on the Western Side next to Friendly Ford to the very rear of the property behind Bahamas Foam (Follow the ONE WAY sign around to the last Blue Warehouse at the Rear)

Payment Options *

Cash/Cheque at the Gym

Online Wire Transfer

■ Bank: First Caribbean International Bank (FCIB)

■ A/c Name: Marvin J. Henfield

■ Type: Savings Account

■ A/c Number: 2016-35559

■ Branch Code/Transit Number: 09736

■ Branch Location: Carmichael Road

Ensure to send a photo of payment and name of child to 242-828-2353/242-424-2353

Order products

Order Total (The sum of all the prices of all the items in the order, taxes and discounts included.)

Contact information

Shipping address

Billing address