presents Clinic Details Saturday, November 22nd , 2014 Greenfield HS 1 Lenox Ave, Greenfield MA 01301 Clinic Director: Angelo Thomas Boys & Girls Grades 1st – 3rd : 10:00 a.m. – 12:00 noon Grades 4th – 6th : 12:30 p.m. – 2:30 p.m. Grades 7th – 12th : 3:00 p.m. – 5:00 p.m. Cost: $35 in advance; $40 day of clinic Registration/ Sign-in begins 30 minutes before each clinic Participation waivers must be signed day of clinic www.drivehoopsbasketball.com REGISTRATION FORM Participant Name:_______________________________ DOB:_______ Grade: ____ Parent/Guardian Name: _______________________________________________ Address: ___________________________________________________________ City: ___________________________________ State: ______ Zip: ___________ Day Phone: __________________________ Home Phone: __________________ Email: ____________________________________________________________ Signature:__________________________________________________________ PLEASE MAKE CHECKS PAYABLE TO: DRIVE Hoops Mail registration form & payment to: DRIVE Hoops, 5 Verde Drive, Greenfield MA 01301 T –shirt size (size limited to availability) S M L XL Special guest instructor Ben Barshefsky of Top Notch Basketball