Hoopsters 2023

Registration Form

If you plan to participate in Hoopster’s basketball this year, please fill out the form below.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

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Parent's Cell

(###)

###

####

Father/Guardian Email

Mother/Guardian Email

Church (if you regularly attend church, which one?)

Participant Information Notes (if any)

I have read the waiver of liability and fully understand its terms, understand that I give up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Agree

Disagree

Parent/Guardian Information

Father/Guardian

First Name

Last Name

Father's Phone

(###)

###

####

I would like to assist this league by being a:

Coach

Referee

Team Parent

Mother/Guardian

First Name

Last Name

Mother's Phone

(###)

###

####

I would like to assist this league by being a:

Coach

Referee

Team Parent

Parent / Guardian Email

Emergency Contact

Daytime Phone

(###)

###

####

Evening Phone

(###)

###

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