Register

We require a completed Registration Form for each child. If you have any questions, please call our office.

Call us. 718-275-7974.

Our classes fill quickly because we keep them small, so we urge our parents not to wait until the last minute to register.

Parent or Guardian*
First Last
Mobile/Text Phone*
Email*
Alternate Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Student's Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Shirt Size*
Emergency Contact
Physician/Other*
Prefix First Last
Phone*
Allergies*
Medications*
My child has been checked by a physician and has my permission to participate in this program. In the event of an emergency requiring medical attention and I cannot be reached, I hereby grant permission to a physician or hospital designated by the school to attend to my child. I know that participation in any activity may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify, and agree to hold harmless First Shot Basketball, Inc., lfs Youth Assn, Inc, supervisors, participants, and facilities from any claim arising out of any injury to my child whether the result of negligence or for any other cause. First Shot Basketball Inc., and LFS Youth Assn. Inc. retain the rights to any photographs or video tapes of the players taken during class to be used for publicity , advertising or training purposes. The above also pertains to me if I participate in an Adult program.
Please Check the box to confirm the details above*
- Yes
- No
Please Select One 12-Week Program from the drop down menu.*
If your chosen class is marked CLOSED, please call the office for a possible replacement class. We can also put you on the Waiting List since other students may drop out or change locations. Contact us by phone: 718-275-7974. Or Email: FIRSTSHOTBBALL@AOL.COM
Please choose a Payment Plan only from the Level for which you registered. All programs are 12 weeks.*
NOTE: If you choose the Payment Plan, a $10 processing fee is already included in each payment. There is no processing fee if you pay in full. Full payments and first partial-payments will be charged when you register but not before July 15, 2019. Second payment will be charged on October 15, 2019.

BROTHER/SISTER DISCOUNTS.
Level 1A. Deduct $25 for each additional child.
Level 1. Deduct $50 for each additional child.
Levels 2-5. Deduct $75 for each additional child.
Note: Discounts will apply to the sibling in the lowest level.
We cannot reserve your child’s place without a valid credit card.

NOTE: We do not take American Express
Card Number:
Expiration Date*
Security Code*
Type of Card
- Credit
- Debit
Amount
FIRST SHOT GUARANTEE: If after the first class your child did not have a great time, or you do not want to continue for any reason, your payment will be refunded in full.

LIBERAL MAKE UP CLASSES: If your child misses a class for any reason, usually there is an opportunity to make it up at a later date. Please call or email the office to schedule a makeup class. Unfortunately, we are unable to give refunds or credits for missed classes. Dates and locations are subject to change or cancellation.

SEND A FRIEND: If your child is registered for this season, you will receive a one-time $50 reward when you recommend a new, fully-paid student. $25 for each additional sibling. Please call for more details. 718-275-7974

CONFIRMATION: You will receive confirmation of your Registration usually within 48 hours!
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Register

Call us. 718-275-7974.

Emergency Contact