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Private Basketball Lesson Request

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For Ages 8 and up--This is a great chance to work on specific fundamentals of basketball including shooting, dribbling, and passing in a one-on-one setting. This also gives the young basketball player a regimen of drills that they can continue on their own.

Please indicate which lessons you are interested in.

For Ages 8 and up--This is a great chance to work on specific fundamentals of basketball including shooting, dribbling, and passing in a one-on-one setting. This also gives the young basketball player a regimen of drills that they can continue on their own. Please indicate which lessons you are interested in.

Private Lessons, 4, 60-Minute Lessons $220

Partner Lessons, 4, 60-Minute Lessons $320 ($160 per person)

Name of Person Requesting Lesson

Name of Person Requesting Lesson

Participant Name

Participant Name

Participant's Age

Participant's Age

Contact Information

Contact Information

Home Phone

Cell Phone

Email Address

Address

Address

Street Address

City

State

Zip Code

Emergency Contact Information

Emergency Contact Information

Emergency Contact Name

Best Phone Number of Contact

Relationship to Client

Preferred Day(s)/Time(s) (Times are limited by court availability)

Preferred Day(s)/Time(s) (Times are limited by court availability)

Special Considerations

Special Considerations

Thank you for your request for private basketball lessons. Please make note of the following:
*All services are by appointment only.
*There are no discounts on the cost of any services.
*Clients must pay for all services in advance.
*Sessions are approximately sixty minutes.

*To cancel a private lesson, YOU MUST CONTACT YOUR INSTRUCTOR DIRECTLY WITH 24 hours of your scheduled session. Failure to cancel will result in you being charged for the session. Clients who arrive more than 15 minutes late will be charged for the session. In addition, the instructor may cancel the session.
*Private lesson fees are subject to change.
*Participant assumption of risk:
I understand that participation in any activity involves inherent risks, and that even when safety precautions are utilized, injuries can occur. I fully agree to assume all risks involved when following instruction prescribed by Ida Lee Recreation Center and its instructors, and agree to hold them harmless in the event that such injury occurs. If I experience unusual pain or discomfort during participation in any activity, I will inform the instructor immediately. I am aware that personal health/accident insurance is my responsibility. I claim that to the best of my knowledge, I do not have any medical issue that will prohibit my safe participation in this program. By submitting this form, you agree to the above policies.

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