Basketball Clinic

Middle school girls in grades 5th-8th are invited to join OC Head Coach Eddie Benton and the OC Basketball team to tune up your basketball skills!

Saturday, December 9
2:00 - 4:00 p.m.
Donahue Pavilion
Cost: $50/player

Remember to bring your own basketball and water bottle.

Register Today!

This form will be active November 18 - December 8, 2023.

Required

Student's Namerequired

First Name

Last Name

Current Graderequired

Current Schoolrequired

Addressrequired

Cityrequired

Staterequired

Ziprequired

Parent/Guardian 1 Namerequired

First Name

Last Name

Parent/Guardian 1 Email Addressrequired

Parent/Guardian 1 Phonerequired

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone

Permission to use photographs of your child for the purpose of illustrations and publications?required

In Case of Emergency

If your child is not feeling well do you give the OC Coaching staff permission to dispense Tylenol (or a generic supplement)?required

Yes

Do you give the OC Coaching staff permission to send your child to the hospital in case of an emergency?required

Yes

Any allergies we should know about?

Health Insurance Carrierrequired

Authorization Daterequired

Must contain a date in M/D/YYYY format

Basketball Clinic Cost

$50.00

Payment Information

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year

Questions or Concerns?

Please contact: basketball@oaklandcatholic.org.

Reminder

Don't forget to bring your own basketball and water bottle!