2019 Veteran's Day Clinic

Monday, November 11, 2019
11:00 AM 12:00 PM 11:00 12:00

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

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Our next clinic is Monday, November 11, from 11am-12pm. The clinic will take place at South Salem High School. Our clinics are FREE for all boys and girls in Salem and surrounding areas. This clinic is for boys and girls in grades K-8.

Veteran’s Day Clinic Sign-up Form

Child Name

First Name

Last Name

Grade

School

Parent/Guardian Name

Parent/Guardian Email

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. 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 other information you would like us to know?