Basketball Open Gym Clinic - April 25, 2025 Participant Name(Required) First Last Guardian Name(Required) First Last Guardian Contact Number(Required)Email(Required) Emergency ContactEmergency Contact Name(Required) First Last Emergency Number(Required)Allergies or medical conditions we need to be aware of(Required)Consent(Required) I agree to not hold Salt and Light, or its workers, liable in the event of accidental injury while attending this program. (If answer is "NO" participant will not be permitted to attend event.)Want to keep in touch? Check this box to be added to our email list. Yes! Typed Signature of Guardian(Required)PhoneThis field is for validation purposes and should be left unchanged. Δ
