Hoops Basketball 2020 Registration Form
Please fill out this form accurately for your child. To pay the Hoops registration fee, please go to ADD PAYPAL URL after completing this form. The deadline to register and pay for Hoops Basketball is Thursday, December 26th, 2019. Registrations WILL NOT be accepted at the door on Saturday, January 4th, 2020.
Email address *
Child's first name *
Your answer
Child's last name *
Your answer
Parent/Guardian #1 - First name (this will be considered the Emergency Contact for the child) *
Your answer
Parent/Guardian #1 - Last name *
Your answer
Parent/Guardian #1 - Cell phone # *
Your answer
Parent/Guardian #1 - Street address (where the child resides) *
Your answer
Parent/Guardian #1 - City *
Your answer
Parent/Guardian #1- State *
Your answer
Parent/Guardian #1- Zip code *
Your answer
Parent/Guardian #1 - Email address *
Your answer
Parent/Guardian #2 - First name
Your answer
Parent/Guardian #2 - Last name
Your answer
Parent/Guardian #2 - Cell phone #
Your answer
Child's gender *
Child's current grade in school *
Child's date of birth *
MM
/
DD
/
YYYY
Child's cell phone # (if applicable)
Your answer
Would you (as the parent) like to assist the league as a coach, co-coach, referee, or team parent? Please choose all that apply. *
Required
Does the child need a jersey? *
If the child is using the SAME JERSEY as LAST YEAR, what jersey # do they have? If your child needs a new jersey, please type "New" below. *
Your answer
If ordering a new jersey for this year, please indicate what size jersey your child needs. *
Release of Liability
Please read the following Release of Liability and check below that you have read, understand, and agree to this Release of Liability document.
Release of Liability - MUMC Hoops
By answering "Yes" below, I, as the parent/guardian of the child indicated on this form, have read, understand, and agree to the above Release of Liability provided by the Maumee United Methodist Church Hoops Basketball Program. *
Please go to the following PayPal link to pay the registration fee for your child. www.maumeeumc.net
Your answer
A copy of your responses will be emailed to the address you provided.
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