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 Conditions Applicant Lives with FatherMotherBoth Experience Has Applicant Played Organized Basketball Before? YesNo How many Seasons? Team/Coach Last Season Player Profile Height Ft.  In. Weight  Lbs. Grade Sex MaleFemale Age  Yrs. Old Birth date      (mm/dd/yyyy) School Verification code