1) By Mail :

                       By Check : Complete the form below, then print this page and mail in.

                 By Credit Card : Complete the form below, print the page, then hand enter the CC info below.

                         Visa - MC - Amex - Discover only

                          Credit Card # ________/_________/_________/_________ Exp Date_______/_______

                 Check payable and Mail to :

                                    Basketball PLAYERS EDGE

                                    PO Box 795,

                                    Bridgewater MA, 02324-0795

2) By Internet : Complete the form below, click the submit button.

                             (This is just a registration, not a payment. We will send a bill.)

Fall 2008 Fee : $ 220  (you can commit to the Spring 2009 program at a later date)

($ 25 deposit, remainder, $ 195 due)

Full Year Fall 2008 / Spring 2009 Paid in Full : $ 395  

(save $ 45 off seperate Fall / Spring fee's)($ 25 deposit, remainder, $ 370 due)

Waiver : I understand and accept the condition that neither the "Basketball PLAYERS'S EDGE", ABC Inc, facilities used, or anyone associated with this program assume responsibility for accidents and medical or dental expenses incurred as a results of participation in the program.  I hold harmless and indemnify, the City of Peabody, the Peabody Public School Department, Assumption College, Massasoit CC,. I waive the right to make claim directly or indirectly for all known and unknown personal injuries or property damage now and hereafter. The applicant is in good health and able to participate fully and is covered by medical insurance as listed below in the application form. 

Refunds : Refunds are pro-rated for injury only, with a Doctor's note, for the remaining sessions from the date written notification is received, minus a $ 25 non-refundable administration fee. 

By printing / emailing / mailing this form I have read, understand and agree to the above policies concerning Waiver, and Refunds.

1 - Make sure all info is correct, Print this page, then click submit only once.

2 - Upon seeing the Registration Sent page, we have your registration. 

3 - Mail in the appropriate fee with this printed page.