2017 McKnight After School
Basketball
WHEN:
7 Session Program (Schedule Listed Below)
GRADES K & 1 – MONDAYS – February 27, March 6 & March 13
WEDNESDAYS – March 1 & March 15
FRIDAYS – March 3 & March 10
GRADES 2 & 3 – MONDAY – March 20
TUESDAY – March 14
WEDNESDAYS – March 8 & March 22
THURSDAYS – March 9, March 16 & March 23
WHO:
BOYS AND GIRLS IN GRADES K through 3
(We have the space and staff to accommodate all interested players! Enrollment for this program is not
capped. If you register your student, they are in!)
WHERE:
McKNIGHT GYMNASIUM
TIME:
3:30 – 5:00
WHAT:
Students will have the opportunity to learn & enhance individual basketball skills.
They will then transition to small games.
SKILLS – Dribbling, shooting, ball handling, passing, defensive play
LEADUP GAMES – 1 on 1, 3 on 3, Knockout, Sharks & Minnows, Pacman, etc.
INSTRUCTORS:
COST:
McKnight Staff Members & High School /Middle School Helpers
$40.00 Registration Fee (Includes a T-Shirt)
PLEASE PRINT AND COMPLETE THE FOLLOWING REGISTRATION FORM & WAIVER AND
RETURN BOTH TO THE FRONT OFFICE WITH YOUR PAYMENT.
All checks made payable to “McKnight P.E.”, please!
Any questions may be directed to Mr. Conway.
[email protected]
2017 McKnight PFA
After School Basketball Program
PARENT/GUARDIAN PERMISSION FORM
For your student to participate in this program, we need you to please:
1. Complete and sign this form.
2. Complete and sign the waiver on the following page.
3. Return both documents to McKnight Elementary along with a
check for $40.00 made payable to the McKnight P.E. Department.
Student Name:
Homeroom:
(1A, 5B, etc.)
Please circle T-shirt size:
Youth Sizes:
YS
YM
YL
Adult Sizes:
S
M
L
Payment Information
$40 Registration Fee, Checks made payable to McKnight P.E. Department
Check #:
Check Amount:
$
My student has my permission to participate in the McKnight PFA After School Basketball
Program. I understand that it is my responsibility to provide transportation for my child at
the conclusion of each session at 5:00 PM.
Parent/Guardian Signature:
Please list Emergency Names & Contact Numbers below.
Questions? Please contact Mr. Conway: [email protected]
Thank you for your participation in McKnight’s After School Basketball Program!
McKnight PFA After School Basketball Program
2016 – 2017 School Year
PARENT’S APPROVAL AND STUDENT WAIVER
I/we have read this information carefully and am aware that by participating in this program, I/we will be expressly assuming
the risk and legal liability and waiving and releasing all claims for injuries, damage or loss, to person or property, which I/we or the
minor might sustain as a result of participating in any and all activities associated with the McKnight PFA (MCK PFA) After School
Basketball Program.
I/we recognize and acknowledge that there may be some volunteer participants who may not have criminal clearances. I/we
voluntarily agree to assume the full risk of injuries, damages, or loss, to person or property, regardless of severity which the minor or
I/we may sustain as a result of participating in any and all activities associated with the McKnight PFA After School Basketball Program.
I/we further agree to waive and relinquish all claims the minor or I/we may have as a result of participating in the McKnight PFA After
School Basketball Program against the McKnight PFA, its officers, and volunteers, as well as the North Allegheny School District, its
volunteers, officials, employees or sponsors. Further, I/we do hereby release, and forever discharge the McKnight PFA, its officers, and
volunteers, as well as the North Allegheny School District, its officials, officers, agents, employees, successors and assigns, heirs,
executors and administrators of and from any and all claims, demands, rights, and causes of action of whatsoever kind and nature,
arising from, and by reason of, any and all known and unknown, foreseen and unforeseen bodily and personal injuries or damage which
may be sustained by the minor or as parents or guardians as a result of or in connection with the minor’s participation in the McKnight
PFA After School Basketball Program.
The undersigned do hereby expressly stipulate and agree to indemnify and forever hold harmless the McKnight PFA, its
officers, and volunteers, as well as the North Allegheny School District, its officials, officers, agents, employees, successors and assigns,
heirs, executors and administrators against loss from any and all claims, demands and actions in law or in equity that may hereafter at
any time be made or brought by the minor, the undersigned, or by anyone on behalf of said minor for the purpose of enforcing a
further claim for damages on account of any injuries which may be sustained as a result of or in connection with participation in the
McKnight PFA After School Basketball Program, and the undersigned hereby waive any and all rights of exemption, both as to real and
personal property, to which they may be entitled under the laws of this or any state as against such claim for reimbursement or
indemnity.
I do hereby certify that to the best of my/our knowledge and belief minor is in good health. In case of illness or accident,
permission is granted for emergency treatment to be administered. It is further understood and agreed that the undersigned will
assume full responsibility for any such action, including payment of costs.
I/we hereby advise that the named minor has had the following allergies,
medicine reactions or unusual physical condition, including any allergies, which
should be made known to a treating physician or which could limit the named
minor’s participation. (If none, please write “None”.):__________________________
_________________________________________________________________________________
_________________________________________________________________________________
Student Name: ____________________________________________________________________________
Parent/Guardian Name (please print):____________________________________________________
Parent/Guardian Signature: _________________________________________ Date: _____________
Address: ___________________________________________________________________________
___________________________________________________________________________
240941,1000.63