SPRING CLINICS  2025               
CLINIC DATES:  Wednesdays: March 12, 19, 26  &  April 2, 9, 16, 23

Grades 2-5: Wednesday - 7:15 PM - 8:15 PM
Grades 6-8: Wednesday - 8:20PM - 9:20 PM

7 Sessions: $245
Lyndhurst Resident Rate: $220
LOCATION: Lyndhurst Recreation Center, 862 Valley Brook Avenue, Lyndhurst, NJ  

Payment: Venmo, Zelle @HoopAcademyBasketball or Check to 95 Hobart Ave, Rutherford, NJ 07070
Sign in to Google to save your progress. Learn more
 Download, Sign and Return Waiver & Release Form 
    
      Email completed form back to hoopacademybasketball@gmail.com 
Child's Last Name *
Child's First Name *
Parent/Guardian First & Last Name *
Parent/Guardian Contact Phone Number   *
###- ###-####
Parent/Guardian Alternate Contact Phone Number *
###-###-####
Parent/Guardian email address  *
Please check spelling is correct
Current Grade Level *
Home Street Address *
City, State Zip Code *
Child's Date of Birth  *
MM
/
DD
/
YYYY
Child's School Name, Town *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report