Hoops-4-Kids, Inc.
Teaching Youth About Life Through Basketball
Camp Registration Form
Child's Name
  Female
  Male
Child's Age:
Parent's Cell Phone:
 Home Phone:
Address:
City:
State:
Zip:
Email:
Is this your child's first basketball camp?:
Parents Please read & submit:
By submitting this form you acknowledge & agree to the statement.

I hereby authorize the staff of Hoops-4-Kids, Inc to act for me according to their best judgment in an emergency requiring medical attention to the above stated camper. I hereby waive and release Hoops-4-Kids, Inc, its staff, agents, volunteers, coaches and the gym facilities from any and all liability for any injuries or illnesses incurred at said camp. I also understand that Hoops-4-Kids, Inc retains the right to use, for publicity and advertising purposes any photographs of any campers taken at said camp.
I understand camp fees are non-refundable unless said camp is canceled.
After submitting this form please click here to submit payment.
You may also complete this form, print it and mail it with payment
Hoops-4-Kids, Inc
P.O. Box 210888
Nashville, TN 37221

 

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