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

Please check the event(s) you are registering for below.
Note: only one child can be registered per form submission. If you have any questions, please contact jonathan@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 jonathan@hoopeducation.com or fill out our Contact Form.

Basketball Camps, Training | Washington DC, Maryland, Virginia | HoopEd New! HoopEd Gear >>