Name:_______________________________ Telephone:_____________________
Address:________________________________________ Current Grade
('09-'10):_____________
City, State, Zip Code:_____________________________________________________
Parents' Names:____________________________________
E-mail Address:____________________________________
Preferred Choice of Sessions 1 2
3
Second Choice 1 2 3
Openings filled on a first in basis.
Shirt Size: AS AM
AL AXL
AXXL
Fee: $85.00 ($75.00 if received before May 1st)
Make check payable to EDGE
In consideration for my daughter's participation in EDGE's summer basketball program, I hereby agree and promise that I will not hold EDGE nor its employees responsible for any loss, damages or personal injuries that she may receive as a result of participation and I do hereby voluntarily assume all risk of accident, injury, damage and/or loss to my child or child's property which may arise out of my child's participation in the EDGE program.
Parent's Signature:___________________________________ Date:_______________
Send application and fee to: Jim Link, 6065 Springburn
Drive, Dublin, Ohio 43017
Openings filled on a first in basis.