H.O.P.E. Hoopz Player Registration Form

Welcome to H.O.P.E. Hoopz! Please complete this registration form so we can get your player ready to hoop! 🏀

*all information is kept confidential and used solely for program communication and player safety.

Player Full Name *

Date of Birth / Age *

School Name *

Grade in School *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Medical Conditions / Allergies *

Medical Authorization *

I certify that my child is physically fit to participate and that I have disclosed all relevant medical conditions. In the event of a medical emergency, I authorize H.O.P.E. Hoopz staff to seek necessary medical care for my child. I understand that I am responsible for any medical expenses incurred.

Liability Waiver *

I acknowledge that participation in H.O.P.E. Hoopz activities involves inherent risks, including potential injury. By signing below, I release and hold harmless H.O.P.E. Hoopz, its staff, coaches, affiliates, and volunteers from any liability, claims, or demands arising from my child’s participation in any and all program activities, whether conducted on-site or off-site.

Media Release *

Yes, I give permission for photos, video, and audio recordings of my child to be used by H.O.P.E. Hoopz for promotional, educational, or marketing purposes.

No, I do not give permission.

Please note: This form will remain valid for one year from the date signed. A new form will be required annually to keep player information up to date.

Signature *

Clear

Todays Date *

I agree to receive text and email updates regarding schedules, training, events and similar communications from H.O.P.E. Hoopz. Reply STOP to optout.