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Fast Break Youth Basketball Clinic 2014
South Dakota State Jackrabbit student-athletes, led by the men’s and women’s basketball teams, host the Hy-Vee Fast Break Basketball Clinic on Saturday, Feb. 15, 2014. Check-in begins at 8am and the clinic runs from 8:30 a.m. to 10:30 a.m. in Frost Arena. Cost of the clinic is free with a non-perishable food item. Participants receive a t-shirt, milk and cookies, an autograph session with Jackrabbit student-athletes, and a free general admission ticket to that nights Women's Basketball game vs. Western Illinois at 4 p.m. To register a child in grades K-8, please fill out all fields completely. One form must be filled out per child. Space is limited to the first 450 kids. After submitting this form, your child's registration will be confirmed in an email within 48 hours. For questions, please contact the Jackrabbit Ticket Office at 1-866-GO JACKS (465-2257).

Required Fields in Bold

Name of Clinic Participant (First Last)
Grade in School
Birthdate (mm/dd/yyyy)
Name of Parent/Guardian
Street Address
City State, Zip
E-mail Address
Emergency Contact Number (for day of clinic)
Medical Insurance Company Name
Policy Number
In consideration of the acceptance of this application by clicking the submit button, I, intending to be legally bound hereby for myself, my heirs, executors, administrators, waive and release any and all rights and claims for damages against South Dakota State University, or its representatives and/or assignees for any and all damages which may be sustained and suffered out of my traveling to, participation in and returning from camp. Please note that medical insurance information will be used only in emergency situations and will not be provided to any third party.
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