Skills Clinic · September 2026

Fall Skills ClinicHarvard Jr. Hornets Basketball

Two days of focused skill development for Boys & Girls · Grades 5–8

"No Excuses. No Explanations."
Fall Skills Clinic
DatesSept 23 & 25, 2026
Price$20 / day
WhoBoys & Girls · Grades 5–8
1 Clinic Selection
Select Program
Select Grade Level (2026–27 School Year)
Select Clinic Day(s) — $20 per day
Sign up for one day ($20) or both days ($40). Select whichever days work for your player.
2 Player Information
3 Parent / Guardian Information
4 Emergency Contact
5 Waiver & Agreements

Please read each section carefully. A parent or legal guardian must acknowledge every item below to complete clinic sign-up. These agreements are required for participation in the Harvard Jr. Hornets Skills Clinic.

🛡️1. Assumption of Risk & Release of Liability

I understand that basketball is a physical, contact sport that involves inherent risks — including but not limited to sprains, fractures, collisions, falls, concussion and other head injuries, and in rare cases catastrophic injury. I understand these risks cannot be eliminated regardless of care taken.

Knowing these risks, I voluntarily choose for my child to participate in the Harvard Jr. Hornets Skills Clinic. To the fullest extent permitted by Illinois law, I release, waive, and agree not to sue the Harvard Jr. Hornets, its coaches, volunteers, and organizers for any injury, loss, or damage arising from my child's participation, except for injury caused by willful or wanton misconduct.

I have read and agree to the Assumption of Risk & Release of Liability above.
➕2. Medical Treatment Authorization

In the event of an injury or medical emergency during the clinic, I authorize the coaches and organizers to seek and obtain emergency medical care for my child if I cannot be reached immediately, including first aid and, if necessary, transport by emergency personnel. I understand I am responsible for any medical costs incurred.

I authorize emergency medical treatment for my child as described above.
🧠3. Concussion Awareness & Protocol

I understand a concussion is a brain injury that can be serious. The Harvard Jr. Hornets follow a "when in doubt, sit them out" approach: any player suspected of a concussion will be removed from activity and may not return until cleared in writing by a licensed healthcare provider, consistent with Illinois youth sports concussion guidelines.

I have read and understand the concussion protocol and agree to it.
📸4. Photo & Video Release

The Harvard Jr. Hornets may take photos or video during the clinic for use in team communications, social media, and promotional materials. No player's full name will be published alongside an image without separate permission.

Please choose one:

Parent / Guardian Signature

By typing my name above, I certify that I am the parent or legal guardian of the player named in this sign-up, that I have read and understand all four sections of this waiver, and that I am signing it voluntarily. I understand that typing my name serves as my legal electronic signature.

6 Payment
🛡️
Your card information is protected
Card details are encrypted and processed by a certified payment provider. The Harvard Jr. Hornets never see or store your full card number.
🔒
🔒
🔒
🛡️
Your bank information is protected
Bank details are encrypted and processed via secure ACH transfer. The Harvard Jr. Hornets never see or store your full account number.
🔒
🔒
🧾 Bring cash or a check to the first day of the clinic. Your player's spot is held — please complete payment on arrival.
🔒 Payments are encrypted and processed securely. The Harvard Jr. Hornets never see or store your full card or bank number.

Clinic Sign-Up Summary

ProgramBoys · 5th Grade
Day(s) SelectedTue Sept 23
Price per Day$20.00
Total Due$20.00
⚠️ This is a demonstration form. No real payment is processed and no card or bank information is stored or transmitted.