Little Buckets · Grades K–2

Register for Little Buckets

6 weeks · Sundays 9:00 – 10:00 AM · Begins Sunday, September 20 · Bethesda area

$240 per child · 6-week program

Open to Kindergarten, 1st and 2nd grade players — no experience needed. A parent is welcome to join in on the court alongside their young athlete, and parents can alternate week to week.

Step 1

Player information

Player first name

Player last name

Grade

Gender

School

Shirt size

Step 2

Parent / guardian information

Parent first name

Parent last name

Email address

Mobile phone (###-###-####)

A parent plans to join in on the courtOptional. Parents can participate alongside their child and alternate week to week — a fun 2-for-1 family experience.

Step 3

Emergency contact

Emergency contact name

Emergency phone (###-###-####)

Relationship to player

Allergies or medical notes (optional)

Step 4

Agreements & waivers

Participation Waiver & Release of Liability *I understand that basketball participation with Coach Poole Basketball Academy involves inherent risks including but not limited to sprains, fractures, concussions and, in rare cases, serious injury. On behalf of myself and my player, I assume those risks and release the Academy, its coaches, staff, volunteers and facility partners from claims arising out of participation, except for gross negligence or willful misconduct.Emergency Medical Treatment Authorization *I certify my player is physically fit to participate. In the event of injury or illness I authorize Academy staff to obtain emergency medical care for my player, and I accept financial responsibility for that care.Academy Policies & Code of Conduct *My player and family agree to treat coaches, teammates, opponents, officials and facilities with respect and to follow all Academy policies, including attendance, uniform and fee policies. The Academy may remove a participant for conduct that endangers or disrupts others, without refund.Photo, Video & Media Consent *I grant the Academy permission to use photographs and video of my player taken during Academy activities for promotional purposes, including the website and social media, without compensation.Little Buckets Program Fee & No-Refund Policy *I understand that the Little Buckets program fee reserves a spot for my player in this 6-week session. I understand that program fees are non-refundable once registration is submitted, except if Coach Poole Basketball Academy cancels the program or as otherwise required by law.

Your spot is held once we receive this form and the $240 program fee. After submitting, click the Pay Now button to pay and confirm your spot.