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Fall League Registration 2019
Athlete Name
*
Gender
*
Male
Female
School
*
2019-20 Grade
*
Email Address #1
*
Email Address #2
Optional - Email will be the main form of communication regarding schedules, etc.
Email Address #3
Optional - Email will be the main form of communication regarding schedules, changes, etc.
Parent/Guardian Name(s)
*
Street Address
*
City
*
Zip Code
*
Emergency Contact + Phone Number (cell)
*
Are you able to make all of the Fall League dates listed? If NO, please list the date(s) that you will miss.
*
7&8 Boys: 9/21, 9/28, 10/5, 10/12
Girls: 10/12, 10/26, 11/2, 11/9
9-12 Boys: 10/26, 11/2, 11/9, 11/16
Do you have Fall League 2018 Black/Gray tops that still fit?
*
NO
YES
Will not order new ones if you put YES, and will save $25
Jersey Number Preferences - Please List Top 4 Choices (example: 15,23,51,3)
*
If you have jersey tops from last fall, list your current #. Not guaranteed to get one of your choices
Men's Adult Top Size (may list Youth XL) :
Can leave blank if using last year's jerseys.
Please list any current or prior medical concerns or allergies that Hoops Training should have knowledge of:
*
If none, write 'none' or 'N/A'.
To be completed by PARENT/GUARDIAN - I authorize Hoops Training LLC employees to act in their best judgment in any emergency requirement of medical attention. I hereby release Hoops Training and the employees of the facility used in training from any and all liabilities for any injury or illness incurred while participating in a Hoops Training session. I have no knowledge of any physical impairment that would be affected by the above named athlete participating in the Hoops Training program.
*
I authorize.
