Education First & Panthers 2009 -2010 Instructional Basketball League
Cost $110.00 before December 25 // $125 on and after December 26
First Name
Last Name
Male
Female
Grade
Age
Beginner
1-5 years of experience
5 year or more experience
Parent's Name
Address
City
State
Email
Home Phone
Cell Phone
The participant assumes all risks associated with participation in the program; the
Panthers assume no liability for injury or damages arising from participation in the
program. Due to the strenuous nature of some activities, the Panthers encourage
each participant to consult his or her physician concerning fitness to participate in
the program. The participant consents to emergency treatment. The participant also
consents to the Panther’s use if any photographs taken or video tapes made of the
program. If the participant is a minor, the parent or guardian approves his or her
participation in the program.
