Clinics

BASKETBALL CLINICS (Group Training)

• Faith — Believing in Yourself, Your Future, & Your Purpose. (Self-Confidence)
• Grind — Performing Repetitive Actions Over & Over To Attain A Goal. (Persistence)

CONTACT BY
PHONE OR EMAIL:
(914) 803-2840
info@FaithAndGrind.org
Instagram/TikTok/Facebook:
@FaithAndGrindBasketball

Registration:
FAITH & GRIND BASKETBALL
(All information is kept confidential)

* Indicates required field

Child’s Name *

First

Last

Child’s Gender *

Boy Girl

Which Clinic? *

Summer 2023 Wednesday’s (4th, 5th, 6th Grade) Clinic Summer 2023 Wednesday's (7th & 8th Grade) Clinic

Parent’s Name *

First

Last

Email *

Secondary Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Age/DOB/Grade/School/Hometown *

Known Medical Allergy or Conditions *

Yes No Other

If yes, please explain *

Consent and Liability Waiver-Release of all claims. I (Parent/Guardian), am the parent or legal guardian of __ (Child). As lawful consideration for being permitted to participate in the Faith & Grind Basketball I agree that I will not make a claim against, sue, attach the property of or prosecute Faith & Grind Basketball for damages for death, personal injury, attracting the Covid-19 Virus or property damage which I may sustain as a result of my participation in playing basketball. This release is intended to discharge in advance Faith & Grind Basketball and his employees from and against any and all liability, including for negligent actions, arising out of or connected in anyway with my participation in Faith & Grind Basketball except for liability that may arise out of the willful or excessive misconduct of Faith & Grind Basketball. I further understand that sports involve physical contact between players, that serious accidents occasionally occur during such sporting activities and that participants in such sporting activities occasionally sustain serious personal injuries (Including Death) and/or property damage, as a consequence thereof, knowing the risks of participation, nevertheless, I hereby agree to assume those risks and to release and hold harmless Faith & Grind Basketball Camp/Clinic and employees who (Through negligence or carelessness) might otherwise be liable to me (Or my heirs or assigns) for damages. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between Faith & Grind Basketball Camp/Clinic and I have signed it of my own free will also agree that Faith & Grind Basketball Camp/Clinic may use my photograph in future promotions. *

I have read and understand the above question and are compliant with all terms of the waiver. (Please check box as a signature to the waiver)

Submit

K & 1st Grade Winter 2023 Clinic

4th/5th Grade (girls) Summer 2023 Clinic

Coach Mike Buffalo & Irvington Youth Basketball

Coach Mike Buffalo & The Students of Faith & Grind

BASKETBALL CLINICS (Group Training)

• Faith — Believing in Yourself, Your Future, & Your Purpose. (Self-Confidence)• Grind — Performing Repetitive Actions Over & Over To Attain A Goal. (Persistence)

CONTACT BY​PHONE OR EMAIL:(914) 803-2840info@FaithAndGrind.orgInstagram/TikTok/Facebook:​@FaithAndGrindBasketball

Registration:​FAITH & GRIND BASKETBALL(All information is kept confidential)

• Faith — Believing in Yourself, Your Future, & Your Purpose. (Self-Confidence)
• Grind — Performing Repetitive Actions Over & Over To Attain A Goal. (Persistence)

CONTACT BY
PHONE OR EMAIL:
(914) 803-2840
info@FaithAndGrind.org
Instagram/TikTok/Facebook:
@FaithAndGrindBasketball

Registration:
FAITH & GRIND BASKETBALL
(All information is kept confidential)