2025 K-8th Fall Training Skill Work-Outs

FALL TRAINING SKILL WORK-OUTS

K - 8th GRADES

Sessions 6pm-7pm

Monday and Wednesday Nights, and 1 Thursday

DATE	LOCATION	TIME
MONDAY, SEPT 22ND	CHESTERTON HIGH SCHOOL MAIN GYM	6-7:00pm
WEDNESDAY, SEPT 24TH	CHESTERTON HIGH SCHOOL MAIN GYM	6-7:00pm
MONDAY, SEPT. 29TH	CHESTERTON HIGH SCHOOL MAIN GYM	6-7:00pm
WEDNESDAY, OCT. 1ST	CHESTERTON HIGH SCHOOL FIELD HOUSE GYM COURTS 2 & 3	6-7:00pm
MONDAY, OCT. 6TH	CHESTERTON HIGH SCHOOL MAIN GYM	6-7:00pm
WEDNESDAY, OCT. 8TH	CHESTERTON HIGH SCHOOL MAIN GYM	6-7:00pm
WEDNESDAY, OCTOBER 15TH	CHESTERTON HIGH SCHOOL MAIN GYM	6-7:00pm
THURSDAY, OCTOBER 16TH	LOCATION TBA	6-7:00pm

REGISTER BELOW

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PLEASE PICK-UP STUDENTS PROMPTLY AT THE CONCLUSION OF EACH SESSION.

Overview:
- Sessions will focus on correct shooting fundamentals and ball handling skills.
- Free-Throw Technique
Session Includes:
- 8 sessions of instruction
- Fall Training T-Shirt

PARENT & GUARDIAN INFORMATION
Guardian / Parents Names*

First NameLast Name
Cell Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*

EMERGENCY CONTACT & HEALTH INSURANCE INFORMATION
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Insurance Carrier*
Insurance Policy Holders Name*

First NameLast Name

RELEASES
As the legal parent or guardian, in the event of illness or accident, I give consent for the Chesterton Girls Basketball LLC, members of the Chesterton High School Girls Basketball Coaching Staff to secure any and all necessary emergency medical care for my child. The undersigned gives permission to Chesterton Girls Basketball LLC., its owners and operators and members of the Chesterton High School Girls Basketball Coaching staff to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I request that my child be transported to Northwest Health Porterl in the event of an emergency. I hereby declare we have listed any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good enough physical and mental health to participate in basketball practice and games.
I have read and agree to the above conditions of the Permission For Emergency Medical Treatment:*

Yes
SOCIAL MEDIA/WEB RELEASE:
As the legal parent or guardian, I grant permission for the Chesterton Girls Basketball Program to utilize my daughter's photo or video footage to promote the program using various social media outlets and/or websites.
I have read and agree to the above conditions of the Social Media Release:*

Yes, I grant permission.No, I do not grant permission and wish for her to be excluded.
RELEASE OF LIABILITY:
As the legal parent or guardian, I release and hold harmless Chesterton Girls Basketball LLC, its owners and operators, members of the Chesterton High School Girls Basketball Coaching Staff and Players, and the Duneland School Corporation from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Chesterton Girls Basketball LLC, its owners and operators or in route to or from any of said premises.
I have read and agree to the above conditions for the Release of Liability:*

Yes
Confirmation E-mail*
Signature*

Clear

SKILLS ACADEMY PAYMENT

My Products

Fall Skills Academy$100.00

PLEASE CHECK THE NUMBER OF TOTAL PLAYERS BELOW.

NUMBER OF PLAYERS

Subtotal $0.00Tax $0.00Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Should be Empty:

PARENT & GUARDIAN INFORMATION

PLAYER #1 INFORMATION

PLAYER #2 INFORMATION (ONLY COMPLETE IF MORE THAN ONE SIBLING IS PARTICIPATING. SKIP OTHERWISE)

EMERGENCY CONTACT & HEALTH INSURANCE INFORMATION

RELEASES

SOCIAL MEDIA/WEB RELEASE:

RELEASE OF LIABILITY:

SKILLS ACADEMY PAYMENT

Payment Methods