P.S.1 After School Basketball Program  Skills  Competition  Team Building Learn From The Pro’s of Because We can Sports! We’ve Reached Capacity Registration is now closed STAY TUNED FOR THE LAUNCH OF OUR NEXT PROGRAM I Would Like To Register For The PS 1 Basketball Program(Required)Please note, if your child is already enrolled in our CAAT Program there is a discounted rate of $150. Those not enrolled in our CAAT program are eligible to participate for $180.Make SelectionEnrolled in CAAT Program: $150Not Enrolled in CAAT Program: $180Child's Name:(Required) First Last Child's Date of Birth(Required) MM slash DD slash YYYY Session Registering For:Please note the K-2 program has reached capacity and no longer available. Limited registration remains for grades 3 to 5.3rd Grade Through 5th GradeHiddenChild's Age:Gender(Required)MaleFemaleHome Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home Phone Number(Required)School Currently Attending:(Required) Current Grade Level(Required)3rd4th5thHiddenCurrent Grade Level Parent/Guardians Name:(Required) First Last Parent/Guardians Email(Required) Enter Email Confirm Email Parent/Guardian's Cell Phone:(Required)Please List The Names of Those Who Will Be Picking Up The Student After The Program(Required) Add RemoveEmergency Contact InformationIn case of an emergency and the parent/guardian listed above cannot be reached please list two other individuals as points of contact.Emergency Contact 1 Name:(Required) First Last Emergency Contact Cell Phone Number(Required)Relationship To Child:(Required) Emergency Contact 2 Name:(Required) First Last Relationship To Child:(Required) Emergency Contact 2 Cell Phone Number(Required)Emergency Medical TreatmentIt is understood that the final disposition in an emergency case, the judgment of the camp authorities will prevail. The recommendation of the parent as indicated below will be respected as far as possible.Doctor's Name:(Required) First Last Doctor's Phone Number(Required)Should Any Activity Be Restricted? Please list any/all here along with reason why.(Required)Release of Liability(Required)I hereby give permission for my child/children to participate in the activities at Basketball Program at PS 1. I hereby exempt, release, and agree to hold harmless United Activities Unlimited, Because We Can Sports, PS 1 and their respective trustees, directors, officers, employees, servants and volunteers from an responsibility for any injury that may occur in connection with my child/children's participation, to the extent permitted by law. I AgreeConsent(Required)By submitting and digitally signing this registration form I agree to the following: -To have my child treated for any non-emergency situations -To have my child participate in all of the activities at the program -In case of an accident or injury, emergency medical care may be given in the event i cannot be reached -participants my be photographed or filmed for social media and/or promotional purposes I agreeCredit Card(Required) HiddenCoupon Code Total Δ I Would Like To Register For The PS 1 Basketball Program(Required)Please note, if your child is already enrolled in our CAAT Program there is a discounted rate of $150. Those not enrolled in our CAAT program are eligible to participate for $180.Make SelectionEnrolled in CAAT Program: $150Not Enrolled in CAAT Program: $180Child's Name:(Required) First Last Child's Date of Birth(Required) MM slash DD slash YYYY Session Registering For:Please note the K-2 program has reached capacity and no longer available. Limited registration remains for grades 3 to 5.3rd Grade Through 5th GradeHiddenChild's Age:Gender(Required)MaleFemaleHome Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home Phone Number(Required)School Currently Attending:(Required) Current Grade Level(Required)3rd4th5thHiddenCurrent Grade Level Parent/Guardians Name:(Required) First Last Parent/Guardians Email(Required) Enter Email Confirm Email Parent/Guardian's Cell Phone:(Required)Please List The Names of Those Who Will Be Picking Up The Student After The Program(Required) Add RemoveEmergency Contact InformationIn case of an emergency and the parent/guardian listed above cannot be reached please list two other individuals as points of contact.Emergency Contact 1 Name:(Required) First Last Emergency Contact Cell Phone Number(Required)Relationship To Child:(Required) Emergency Contact 2 Name:(Required) First Last Relationship To Child:(Required) Emergency Contact 2 Cell Phone Number(Required)Emergency Medical TreatmentIt is understood that the final disposition in an emergency case, the judgment of the camp authorities will prevail. The recommendation of the parent as indicated below will be respected as far as possible.Doctor's Name:(Required) First Last Doctor's Phone Number(Required)Should Any Activity Be Restricted? Please list any/all here along with reason why.(Required)Release of Liability(Required)I hereby give permission for my child/children to participate in the activities at Basketball Program at PS 1. I hereby exempt, release, and agree to hold harmless United Activities Unlimited, Because We Can Sports, PS 1 and their respective trustees, directors, officers, employees, servants and volunteers from an responsibility for any injury that may occur in connection with my child/children's participation, to the extent permitted by law. I AgreeConsent(Required)By submitting and digitally signing this registration form I agree to the following: -To have my child treated for any non-emergency situations -To have my child participate in all of the activities at the program -In case of an accident or injury, emergency medical care may be given in the event i cannot be reached -participants my be photographed or filmed for social media and/or promotional purposes I agreeCredit Card(Required) HiddenCoupon Code Total Δ Questoins About Our Program? Get in touch with us! Phone (929) 556-2630 Email ajr@prcision.com
