Basketball Camps, Training | Washington DC, Maryland, Virginia | HoopEd
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Event Information

Please check the event(s) you are registering for below.
Please note: only one child can be registered per form submission. If you have any questions, contact shane@hoopeducation.com.



Referred By: (optional)
Additional Information: Please provide any additional information below: (partial signups, specifics about aftercare, etc. - optional)

Student Information

*First Name:

*Last Name:
*Address: Address 2:
*City: *State:    *Zip:
*Email Address: *School:
*Grade: *Gender: Male    Female
*Birthdate:

 ,

*Shirt Size:

 S    M    L

Parent/Guardian Information

PARENT/GUARDIAN 1
*First Name: *Last Name:
*Home Phone: *Work Phone:

PARENT/GUARDIAN 2
First Name: Last Name:
Home Phone: Work Phone:

EMERGENCY CONTACT
*Cell Phone:
*Emergency Phone:

For any questions please contact jonathan at shane@hoopeducation.com or fill out our Contact Form.
Basketball Camps, Training | Washington DC, Maryland, Virginia | HoopEd