Christmas Clinic

Monday, December 23, 2024
10:00 AM 11:00 AM 10:00 11:00

south salem high school 1910 Church Street SE Salem, OR, 97302 United States (map)

Google Calendar ICS

Our next free clinic will be on December 23rd at South Salem High School. The clinic is free to boys and girls in grades 3-8. We will begin at 10AM and finish at 11AM. Please Register below.

Child Name

First Name

Last Name

Grade

School

Parent/Guardian Name

First Name

Last Name

Phone

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Waiver of Liability

I hereby assume all of the risks of participating in the Salem Hoops Project basketball clinics, Including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them, or because of their possible liability without fault or by the facility in use. I certify that my child(s) is physically fit and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child's participation in the clinics. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the Salem Hoops Project in which my chlid may participate and that it will govern my actions and responsibilities. In consideration of my application and permitting my child(s) to participate in the clinics, I hereby take action for myself, my executors, administrators, heirs, next of kin, and successors.

Acknowledge

Any additional info that we need to know about your child?