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Registration

Please fill out the form below to register.

Hoops & Volleys Registration Form

Required *

Your Name:*

Your Email:*

Address:*

City:*

State:*

Zipcode:*

Phone:*

Select a T-Shirt Size:*
(Hold ctrl key to make more than one t -shirt selection)

Grade:*

School

Select the program(s) you wish to attend:*
 HoopTot Impressions Program $40.00 5:30-6:15 VolleyTot Impressions Program $40.00 Volley Dreamers Gr. K-3 $70.00 Volley Believer's Gr. 4-5 $70.00 Volley Achievers $85.00 Hoop Achievers $95.00 HoopTots Basketball League $95.00 Hoop Dreamers Basketball $70.00 Set For Success Volleyball League $135.00 Private Lessons 1-on-1 Workouts 6 sessions $300.00 1-on-1 Workout 10 sessions $450.00 1-on-1 Workout 1 session $55.00 Hoops School Camp $100 Volleyball Skills Camp $95 HoopTots Basketball Camp $75 Competitive Volleyball Play $95 Competitive Basketball $95 Boys Basketball Developmental League $95 Drive to Inspire Basketball League $105

Release Information

Release Date:* (Date form is completed)

Player Name: *(Name of participant)

School Name: *

Please check each of the following boxes

Waiver of Liability: I, the undersigned parent or legal guardian of the player(s) above, give my permission for the above player(s) to participate in any and all programs, leagues, camps and events offered by Hoops & Volleys, The Premier Sports Club. I accept all risks associated with participation and understand there is possibility of physical injury or illness. I hereby covenant not to sue and waive, release and discharge any rights and claims for damages that may occur with Hoops & Volleys, The Premier Sports Club staff or representatives.


Insurance & Medical Treatment: By clicking on the checkbox to the right indicates that I have active medical insurance on the player(s) listed above and will maintain coverage while he/she is a participant in Hoops & Volleys programs. I authorize Hoops & Volleys,The Premier Sports Club staff or representatives to use standard first aid procedures on the player(s) listed above if deemed necessary in case of an emergency. I understand my medical insurance will be responsible for all expenses which are incurred in relation to any injury sustained during Hoops & Volleys, The Premier Sports Club program activity.


Photo Permission: By clicking on the checkbox to the right indicates I give my permission for Hoops & Volleys, The Premier Sports Club to use photographs of the above player(s) for advertising and promotional purposes on the Hoops & Volleys, The Premier Sports Club website, Facebook page, fliers, handouts, special offers, and other advertising.


Upon any payment received by Hoops & Volleys sale are final. No refund or exchange will be issued. I, the undersigned, have read this release and understand all its terms. I execute it voluntarily and with full knowledge of its significance.


Signature:* (Parent or guardian)

Date Signed:*

Day-time Phone:*

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