Team22 Bon Air Registration

  • Please enter a value between 5 and 20.
  • Please enter a value between 1 and 12.
  • $125 per month - 5 month program - Pay per month or all at once
  • $0.00
  • American Express
    Discover
    MasterCard
    Visa
     
  • I, the parent/guardian listed above, give permission for the named athlete to receive emergency medical or surgical treatment and hospitalization if necessary. I understand that every attempt will be made to contact me, or the emergency contact named above, before taking this action. I will be financially responsible for any medical attention needed during Team22 Bon Air Practice or Bon Air Games or resulting from an injury received at Team22 Bon Air Practice or Bon Air Games I understand and agree to comply with the financial responsibility and commitment of the 5 month program, Team22 Bon Air. Payment will be made in full in the amount of $580.00 to Murrer22 Basketball.