COMMUNITY BASKETBALL CLINIC | Shooters Elite Basketball

SHOOTERS ELITE x VYCTORIUS MILLER

BACK-TO-SCHOOL COMMUNITY BASKETBALL CLINIC

Saturday, August 22, 2026 | 10:00 AM - 2:00 PM

Providence High School

511 S Buena Vista Street

Burbank, CA 91505

ONE PROGRAM. ONE FAMILY. ONE STANDARD.

$125 REGISTRATION FEE PER PARTICIPANT

ALL PARTICIPANTS MUST BE REGISTERED AND APPROVED IN ORDER TO ATTEND OR PARTICIPATE. SPACE IS LIMITED. Registration and payment do not guarentee participation until approval is confirmed by Shooters Elite.

PARTICIPANT INFORMATION

Full Name

Age

Date of Birth

Current School

Current Grade

T-Shirt Size

Parent/Guardian Full Name

Parent/Guardian Email

Parent/Guardian Phone Number

Emergency Contact Name

Emergency Contact Phone

CHECK-IN & PAYMENT

Approved participants must arrive at Providence High School no later than 9:30 AM for check-in and be ready for the 10:00 AM start. Registration fee: $125. Venmo: @ShootersElite or Zelle: studiocityshooters@gmail.com

Payment Method

Name Payment Sent Under

PARENT/GUARDIAN PERMISSION & ASSUMPTION OF RISK

I give my child permission to attend the Shooters Elite x Vyctorius Miller Back-to-School Community Basketball Clinic and participate in all basketball-related activities. I understand that basketball and physical activity involve inherent risks of injury. To the extent permitted by law, I assume the risks associated with my child's participation and release and hold harmless Shooters Elite, Vyctorius Miller, their coaches, staff, volunteers, representatives, and Providence High School from claims arising from the ordinary risks inherent in participation, except to the extent liability cannot legally be waived.

Parent'Guardian Initials:

I have read and agree to the permission and assumption-of-risk statement above.

FINAL AUTHORIZATION

By signing below, I confirm that the information provided is accurate, I am authorized to give permission for this participant, I understand the $125 registration fee, and I understand that ALL PARTICIPANTS MUST BE REGISTERED AND APPROVED before attending or participating in this event.

Parent/Guardian Signature

Date

Parent/Guardian Phone Number

Electronic signature: If submitted electronically, typing your full name in the signature field serves as your written signature and approval of the statements above.

SPACE IS LIMITED - RESERVE YOUR SPOT NOW!

Questions: info@shooterselitebasketball.com

ONE PROGRAM. ONE FAMILY. ONE STANDARD.