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By submitting this form below, I hereby give my approval for stated name to participate in the HOOP PHI HOOP program. I also waive, release, and hold harmless HOOP PHI HOOP Basketball, their officers, directors, employees, coaches, and volunteers for any claim arising out of an injury to the player named above. I hereby agree to accept and assume all responsibility for and all risks of damage, injury, or death involved in the Activity, whether the risks are known or unknown to me. In consideration for Hoop Phi Hoop Basketball allowing the Minor to participate in the Activity, I hereby agree that I said Minor, my heirs and assigns and the heirs and assigns of said Minor, will release Hoop Phi Hoop Basketball the Activity�s promoters and sponsors and any other municipalities or public agencies involved in the Activity and the officials, agents and employees of each organization for any claim, lawsuits or demands which may be brought by any person against Hoop Phi Hoop Basketball . I agree to accept and abide by the rules and regulations of Hoop Phi Hoop Basketball.  
   
Contact Information
Player's Name
Address
City  State  Zip
Phone
Cell Phone
Emergency Phone
Email
Mother's name
Father's name
Emergency contact
Any medical condition
Applicant Lives with
 
Experience
Has Applicant Played Organized Basketball Before?
How many Seasons?
Team/Coach Last Season
 
Player Profile
Height Ft.  In.
Weight  Lbs.
Grade
Sex
Age  Yrs. Old
Birth date      (mm/dd/yyyy)
School
 
Verification code  
   
     
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