Registration

Athlete's Name *

First Name

Last Name

Parent/Guardian Name *

Required for ages 17 and under

First Name

Last Name

Phone Number *

Parent or Guardian phone if athlete is under 18

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Start Date *

when do you want to start your lessons?

MM

DD

YYYY

Class *

requested day/time

Monday 4 PM

Monday 5 PM

Tuesday 4 PM

Tuesday 5 PM

Wednesday 4 PM

Wednesday 5 PM

Thursday 4 PM

Thursday 5 PM

Saturday 8:30 AM | Must select Saturday in registration

Saturday 9:30 AM | Must select Saturday in the registration

Registration Options *

select subscription or drop-in

Weekday Only - $120 per month - four class per month subscription | Yes, I would like to setup a subscription product. I agree to allow Life Time to authorize program dues via my Life Time monthly dues account. I understand that my sessions will expire at the end of every month. I understand that setting up a subscription for classes will save me money and that I will get to keep my rate if any future price increases happen if my subscription is active. If I need to withdraw from the program I will provide my Ultimate Hoops Trainer a 30 day notice via email to avoid future billing.

Weekday Only - $225 per month - 8 classes per month subscription | Yes, I would like to setup a subscription product. I agree to allow Life Time to authorize program dues via my Life Time monthly dues account. I understand that my sessions will expire at the end of every month. I understand that setting up a subscription for classes will save me money and that I will get to keep my rate if any future price increases happen if my subscription is active. If I need to withdraw from the program I will provide my Ultimate Hoops Trainer a 30 day notice via email to avoid future billing.

Weekday Only - $300 per month - 12 classes per month subscription | Yes, I would like to setup a subscription product. I agree to allow Life Time to authorize program dues via my Life Time monthly dues account. I understand that my sessions will expire at the end of every month. I understand that setting up a subscription for classes will save me money and that I will get to keep my rate if any future price increases happen if my subscription is active. If I need to withdraw from the program I will provide my Ultimate Hoops Trainer a 30 day notice via email to avoid future billing.

Saturday Sessions - $130 per month - 4 classes per month subscription | Yes, I would like to setup a subscription product. I agree to allow Life Time to authorize program dues via my Life Time monthly dues account. I understand that my sessions will expire at the end of every month. I understand that setting up a subscription for classes will save me money and that I will get to keep my rate if any future price increases happen if my subscription is active. If I need to withdraw from the program I will provide my Ultimate Hoops Trainer a 30 day notice via email to avoid future billing.

Life Time Basketball Policies *

Please acknowledge the following agreements: Assumption of Risk, Waiver of Liability and Indemnification. I understand and agree that the Program(s) which I have purchased with this Agreement involve the risk of injury and I elect to participate in the Program(s) voluntarily in spite of the risk. I further understand and agree that the terms of my General Terms Agreement and Member Usage Agreement continue to apply, including the assumption of risk, waiver of liability and indemnification provisions contained therein. Cancellation by UH Trainer Policy. If a class is canceled by a UH trainer, a refund or a makeup session will be granted for any individual or group sessions. Cancellation by Individual or Group Policy. If I, or my group, am unable to attend a scheduled session, I and/or my group will contact my designated UH trainer at least 24 hours in advance of the scheduled session. I will forfeit, and I agree to pay for, any sessions I fail to attend without such 24-hour advance notice and any sessions that I do not use within one (1) year of the month in which I purchased such sessions. I understand and agree that if I terminate my club membership, I will also forfeit all remaining sessions. Program Cancellation and Refund Policy: Provide a cancellation notice fifteen days before the date on which my recurring monthly Program Fee will be drafted, but all payments of my Program Fee that I have made or that have been processed by Life Time prior to its receipt of my written cancellation notice are nonrefundable. To cancel this Agreement, I will fill out a cancellation form at the club or online deliver to Ultimate Hoops Trainer. Cancellation for Medical Reasons. For medical disabilities, a prorated refund or credit will be given when participant provides a doctor’s note stating participant can no longer participate in program. Personal Information and E-mail. I understand that by providing my email address, I consent to receiving both membership related and commercial email messages from Life Time and Ultimate Hoops. Release of Image and Likeness. I hereby irrevocably consent to and grant Life Time Ultimate Hoops the exclusive and un-limited right to use and reproduce any and all photographs, audio recordings, video recordings or testimonial accounts taken by Life Time that contain my person, name, image, voice, likeness or account, for any lawful purpose whatsoever and using any means available including, but not limited to, any Life Time corporate or marketing communication or material. I further understand that Ultimate Hoops posts to uhlife.com and other social media networks and any posts will be visible to the public. I waive the right to inspect, approve or edit any such use or reproduction, and Life Time may make any and all changes, modifications, rearrangements, additions or deletions in its use or reproductions without any approval.

I have read this Agreement thoroughly, understand all of its terms including the Cancellation Policy, received a copy if I request it, and have knowingly and voluntarily signed it.