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Page 1: 6(37(0%(5 6(66,21 - National Junior Basketballnjbl.org/files/South OC Academy EX - September.pdf · *hqhudo ,qirupdwlrq 7kh 1-% *luov dfdghp\ lv ghvljqhg wr hqkdqfh wkh vnloov ri

General Information:The NJB Girls academy is designed to enhance the skills of the basketball player. This academy will teach offensive skills to the players. Indi-vidual shooting and ballhandling skills will be the top priority. Players will be grouped by grade and talent level.

ABC’s of Shooting Information:

HEAD COACH: Bob Thate was a high school All-American (Franklin High School, Los Angeles, California). He played collegiate bas-ketball at USC and Occidential College where he was a two time All-American. Bob was drafted by the Los Angeles Lakers in 1970. He played five years professionally in France where he remains the single season scoring record he remains the single season scoring record holder with an average of 42.6 ppg. He coached at Pepperdine University, LMU, UCI, Long Beach State and five years in the NBA, the last four with the New Jersey Nets. He also worked with several players of the 2008 US Olympic gold medal basketball. Some of the NBA players he has worked with include Jason NBA players he has worked with include Jason Kidd, Mike Miller, Nenad Krstic and Luke Walton.

www.abcshooting.com

SOUTH ORANGE COUNTYGIRLS ACADEMY

SEPTEMBER SESSIONPlayers must have current AAU Membership to participate.Go to www.aausports.org to join, AAU Club code is XTB94C

All players should bring a basketball, water & wear a reversible jersey.

BRING THIS FLYER FOR A FREE TRIAL WORKOUT!

26781 Rancho ParkwayLake Forest, CA 92630

Contact: Andrew [email protected]

If you have any questions, please visit: www.sbvsc.comor call Andrew Cano at 949-300-3698

Page 2: 6(37(0%(5 6(66,21 - National Junior Basketballnjbl.org/files/South OC Academy EX - September.pdf · *hqhudo ,qirupdwlrq 7kh 1-% *luov dfdghp\ lv ghvljqhg wr hqkdqfh wkh vnloov ri

SBVBC NJB GIRLS ACADEMY REGISTRATION (Please Print Neatly)

Athlete’s Name: ______ Age: ___ Gender: ___ Birth date: _________ Grade in September 2010: How did you hear about SBVBC: _____ __________ Parent’s Name: E-Mail: AAU # ___________ HM. Phone: Cell Phone: Bus. Phone: Address: City: Zip: Emergency Contact: Phone(s): _______ Medical Condition we should be aware of: Medical Insurance: Policy Number: Group Number: Phone Number:

Academy is offered every Thursday and Friday nights at 24 Hour Fitness, 26781 Rancho Parkway, Lake Forest CA 92630.

Academy is $50.00 per month. Players must have $14.00 (ab) AAU membership present at first practice

go to www.aausports.org to join, AAU club code is XTB94C If you have any questions please call Andrew Cano at 949-300-3698

or email your questions to [email protected] Visit www.sbvsc.com for more information

Checks made payable to: SBVBC Contact Andrew Cano (949) 300-3698 to register

Bring registration form to first practice or Fax 949-713-9521

RELEASE OF LIABILITY/ASSUMPTION OF RISK/INDEMNITY

Participation in the Saddleback Valley Basketball Club (SBVBC) NJB Academy Program held at 26781

Rancho Parkway, Lake Forest CA 92630 and use of 24 Hour Fitness (“24 HR”) premises, services, equipment

and facilities involves the risk of injury to you or your child, whether you or someone else causes it. Specific

risks vary range in severity from minor injuries to major injuries, such as catastrophic injuries including death.

In consideration of you and/or your child's participation in the activities or program offered by 24 HR, you

understand and voluntarily accept this risk and agree that 24 HR, its officers, directors, employees, volunteers,

agents, property owners and independent contractors will not be liable for any injury, including, without

limitation, personal, bodily, or mental injury, economic loss or any damage to you or your minor child

resulting from the negligence of 24 HR or anyone on 24 HR’s behalf or anyone else whether related to

participation in Saddleback Valley Basketball Club (SBVBC) NJB Academy Program or not. You understand

and acknowledge that 24 HR is providing recreational services and may not be held liable for defective

products.

By signing below, you agree to the terms of this Release of Liability and Assumption of risk on behalf of your

self and your child. You also represent that you are the parent or legal guardian of the program participant for

which this application is being prepared. You also agree to defend and indemnify 24 HR and

Saddleback Valley Basketball Club (SBVBC) NJB Academy from and against any claims, demands, causes of

actions or lawsuits brought by the child or on his or her behalf for injuries or other damage whether or not

caused by the negligence or other conduct of 24 HR and Saddleback Valley Basketball Club

(SBVBC) NJB Academy.

READ THIS ENTIRE RELEASE DOCUMENT BEFORE YOU SIGN IT.

Name of Participant: ______________________________

DATED ________________________________________

Print Name of Parent/Legal Guardian of Participant: _________________________________

Signature of Parent/Legal Guardian of Participant: _________________________________

Address: _________________________________________________________________