ELKS NATIONAL HOOP SHOOT Registration Form ~ Sunday December 14, 2025 ~ 10:30am

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Participants may participate in ONE Lodge contest ONLY.

Email *

SF Elks Lodge No 3 in Conjunction with Salesian Boys' & Girls' Club

Participants Name: Last name, First Name *

Address *

City *

State *

Zip *

Previously Participated *

Yes

If yes, how many years

Home Phone *

Boy/Girl *

Boy

Girl

Age as of April 1, 2026 *

Allergies *

Yes

If yes to allergies, please describe

Name of parent/guardian who will be accompany you to each Hoop Shoot Contest or who should be contacted in case of emergency *

Relationship *

Parents/Guardian Email *

Parents / Guardian Cell Phone *

Parent / Guardian Signature *

Date *

YYYY

Submit

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