Girls Basketball Clinic – The Skills Center

Participant Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Email

Phone

Age

Date of Birth

Zip Code

School/Organization Name

Photo Release: By signing below, I give permission to TSC Collaborative and program partners, to use photographs and/or video of me or my child in publications, news releases, online and in other communications related to the mission of The Skills Center Collaborative and its partners. *

Parent/Guardian Signature

Clear