(416) 661-9115

REGISTRATION FORMS

Basketball Group Training by Origin Hoops

Fill the details below

    Child's First Name *

    Child's Last Name *

    Date of Birth (DD/MM/YYYY)

    Age

    Gender

    Allergies

    Email*

    Address Line 1

    Address Line 2

    City

    Postal Code

    Mom's Phone

    Dad's Phone


    Waiver Information:
    I expressly assume all risk and injury, or that may be sustained during the program. I hereby release, acquit and discharge Vaughan Sportsplex II and Sportsplex Ltd, its successors and assigns, and its directors, agents and employees of and from all claims liability of any kind which agree that I will not sue or commence any action of any kind against Vaughan Sportsplex II. and Sportsplex Ltd, its successors and assigns and its officers, directors, agents, or employees. In consideration of my child/ward being permitted to participate in the program, I agree to hold harmless the Vaughan Sportsplex II and Sportsplex Ltd, its successors and assigns, and its officers, directors, agents, and employees of and from any claims, demands, liability, or judgments made by or on behalf of my child/ward arising out of or during my child/ward’s participation in the program. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Vaughan Sportsplex II, Sportsplex II, Vaughan Sportsplex Inc, Sportsplex Ltd, Vaughan Sportsplex 2 and GTA Sportsplex Limited & their directors, officers, employees, agents and representatives (all of whom are hereinafter collectively referred to as “Vaughan Sportsplex”) and to waive any and all claims, demands, or causes of action, that I have or may have in the future against, Vaughan Sportsplex and to release, Vaughan Sportsplex from any and all liability for any loss, damage, expense or injury including death that I may suffer or that my family, heirs, assigns, personal representatives and estate may suffer as a result of my participation at Vaughan Sportsplex II.
    NO REFUNDS
    I agree to above

    Parent Name*

    Parent Initials*


    PAYMENTS DUE THE 15TH OF EACH MONTH
    LIMITED SPOTS AVAILABLE

    AFTER SCHOOL PROGRAM:
    $450 per month
    Ages 11 and up
    4pm to 6pm
     

    GROUP TRAINING:
    $400 per month
    Ages 11 and up
    6pm to 8pm / 8pm to 10pm
    10 Sessions

    SELECT FROM BELOW


    Method of payment

    Address

    8301 Keele St.,
    Vaughan, ON

    Email Address

    [email protected]
    No E-transfer on above email

    Phone Number