Youth Summer Recreational/Educational Program

PLEASE FILL OUT THE BELOW SHOWN REGISTRATION FORM for the “SUMMER YOUTH RECREATIONAL PROGRAM”.

The Athletic Factory will be utilizing the James R. Lenard Center (Cleveland
Elementary School Gym) 2801 Vanness St. in Port Huron, to provide a recreational
safe haven for the youth in our community. In many neighborhoods, places that serve the community don’t exist anymore. A quality recreation center is a valuable asset.

The  Athletic Factory believes the James R. Lenard Center is the ideal place to serve the youth in our community. We will be offering a program that would provide open gym runs for middle school and high school kids. This will be offered from June 21, 2021 to August 13, 2021, Monday through Thursday 2:30pm to 7:30pm, Fridays 1pm to 6pm, and Saturday from 12pm to 4pm.

Basketball helps our youth stay active while learning about hard work, sportsmanship, dedication, and respect for themselves and others. They also have the opportunity to interact with positive mentors and have lots of fun. Basketball can really be a confidence booster. No matter how good a kid is at the game, making a basket or just being on a winning team can really improve their confidence. This is an important aspect of childhood. A child who can build confidence will find life to be easier and be able to overcome obstacles better, as studies have shown.

Summer Youth Recreational Program

    Player Information

    Full Name*

    Current Grade*


    Address*

    City, State, Zip*

    Phone Number*

    Email Address*

    Attending School*


    Parent Information

    Mother's Name*

    Address*

    City, State, Zip*

    Phone Number*

    Email Address*

    Father's Name*

    Address*

    City, State, Zip*

    Phone Number*

    Email Address*

    Comments/Request


    Each participant (or their parent or guardian if the participant is under age 18) must read this and sign

    WAIVER: Signatures on the registration form signify each person has read, and understands and abides by this information. There are risks connected with my participation in open gym, and any related activities. I release and discharge Ballers Elite, The Athletic Factory, Inc., The Athletic Factory, Inc staff, all Port Huron area schools, St. Clair County Community College, and all Ballers Elite coaches from all action, suits and demands whatsoever in law or in equity, including, but not limited to, the risk of injury from playing in open gym, and the risk of loss of personal property by theft or otherwise. Further, I hereby grant full permission for The Athletic Factory, Inc to record any or all of my participation with The Athletic Factory for photos, radio, recording, DVD's, and other media known or unknown, and to use them, no matter by whom taken, in any manner for publicity, promotions, advertising, trade or commercial purposes, without any reimbursement of any kind due to me, or the need to pay me any fee.

    Digital Signature