Register Your Athlete

Pequannock Middle School • Saturdays, Oct. 3 – Nov. 21 • Pequannock High School

Student's Name

School

Grade

7th 8th

Gender

Male Female Prefer not to say

Parent's Name

Parent's Phone

Registration Type

Please check the session(s) you would like to attend. While drop-ins are welcomed, this training progresses weekly. Any missed sessions will not be repeated in order to keep the sessions moving forward.

Which day would you like to drop in?

Drop-in dates open up 2 days before each session — e.g. the Oct. 3 session becomes available to book starting Oct. 1.

Emergency Contact's Name

Emergency Contact's Phone Number

Participation Waiver and Release Form

1. Medical Clearances and Consent

I certify that my child is in good physical health. They can safely take part in strenuous sports training. In the event of an injury, I give permission to clinic staff to seek emergency medical treatment for my child.

2. Assumption of Risk

I understand that basketball involves quick movements, physical contact, and hard running. These activities carry a risk of physical injury. By signing below, I voluntarily assume all risks associated with my child's participation at the clinic.

3. Liability Release

I agree to release, waive, and hold harmless The Lab, its coaches, staff, and facilities from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses, of any nature, occurring during the clinic.

4. Photo Release

I grant permission to The Lab to use photos or videos of my child taken during the clinic for promotional purposes on social media or their website.

AGREED

You'll be redirected to Square's secure checkout to complete payment.