Open Gym – Registration
Open Gym at Sabathani
Basketball and more in the Sabathani Gym!
Mondays, Wednesdays, and the first three Fridays of the month
4:30pm-6:30pm (ages 10-17)
6:30pm-8:30pm (ages 18-24)
How old are you?
Please select...
10 - 17 years old
18 - 24 years old
Based on your age, you will be registered to join us for Open Gym (4:30-6:30). Please join us as often as you can and check in when you arrive.
Based on your age, you will be registered for Open Gym (6:30-8:30). Please join us as often as you can.
Application
Participant Details
First Name
Middle
Last Name
Suffix
Birthdate
Cell Phone (optional)
Email
Do you have a temporary or permanent address?
Yes
No
Street
City
State
Zip
The following demographic questions are optional and are to help us evaluate the reach of our programs.
Gender
Please select...
Male
Female
Non-Binary
Prefer Not To Say
Race/Ethnicity
African/Somali/Ethiopian
American Indian or Alaska Native
Asian
Black or African American
Caucasian
Hispanic/Latino
Middle Eastern or North African
Multiracial
Native Hawaiian or Pacific Islander
Other
Do you have any food allergies or dietary restrictions we should be aware of? If yes, please specify.
Parent/Guardian Contact Information
Parent/Guardian First Name
Middle
Parent/Guardian Last Name
Suffix
Cell Phone
Email
Preferred contact method
Phone call
Text
Email
I verify that I am the parent or guardian of the participant and give consent to participate in Sabathani Community Center's Open Gym.
I confirm
Add a second parent or guardian for this participant
Second Parent/Guardian Contact Information
Second Parent/Guardian First Name
Middle
Second Parent/Guardian Last Name
Suffix
Second Parent/Guardian Cell Phone
Second Parent/Guardian Email
Preferred contact method
Phone call
Text
Email
Waiver
In consideration of my (and/or my child's) participation in this activity, I hereby release and discharge Sabathani Community Center, and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I (he/she/they) may suffer as a result of my (our) participation in this activity.
Initial that you have read and agree to the above waiver.
Photo/Video Agreement
I grant the Sabathani Community Center (SCC) and anyone authorized by SCC to use my and/or my child's photographic images, video and audio with or without my and/or my child's name in SCC promotional materials.
Initial that you have read and agree to the above release.
Guidelines
Respect: treat each other, the building, staff, and yourself with respect.
Safe Decisions: Make decisions that keep Sabathani a safe space for everyone
Sportsmanship: Win or lose, always show respect to others.
Have Fun!
Initial that you have read and agree to the above guidelines.
Your Rights Under GDPR