Registration-House Team


______  I would like to be placed on a team for Adult Leagues on  _____Wed.  _____ Thurs  Or ____ Co Ed League


______  I have ______ players and we would like to be placed on the same team for the ____________________________

            program.  I will have register individually but here are the players names: __________________________________

          ______________________________________________________________________________________________

Our league formation begins with open gym then gradually we form teams for a league, then the players play open gym after league if they still have the legs to do it..


Players Name ______________________________________________ Date of Birth: _______________

Address _________________________________ City ___________________ St _____Zip __________

Phone (Home) _________________________ Email ________________________________
(parents or yours)

Date of Birth: ________________ Ht. _____  Adult Tee Shirt Size: _________ 

PAYMENT Information: Bring this with you the first time you come to Hoop City.

______ Check via Mail                 ______ Money Order
 
Credit Card (Master Card of Visa)   Credit Card No. __________________________  Expiration: ________

Name on It ________________________  Credit Card Signature: _________________________________ 


Permission and Liability Waiver

I give permission to my son/daughter to participate in the activity at  Hoop City or event sponsored by Hoop City.  I further understand that participation is such activities may cause injury to my son/daughter just by the nature of the activity.  I take full responsibility for any injuries suffered by my son/daughter and will hold Hoop City Basketball, LLC, Hoop City Jenison Partnership, the partners of such, and the staff of Hoop City harmless for any injury, loss or damage.

I further assure that my son/daughter has no health problems that would prevent them from full participation in the activities involved in the event they are registering for.  I am solely responsible for their safety and have fully inspected the facilities used by Hoop City to host such activities.   I take responsibility for monitoring their physical condition during such activities, even though I might not be in attendance.

I fully release Hoop City Basketball, LLC, Hoop City Jenison Partnership, its sponsors, staff, instructors, officers, agents, partners and any  representatives of  any liability, loss, or legal action and further agree that this applies to my heirs, assigns and persons acting on my behalf, including a coach, parent, or guardian.

I have checked the capabilities and background of the individuals participating as coaches or instructors of the activities my son/daughter have participated in and fully release Hoop City Basketball, LLC, Hoop City Jenison Partnership, its sponsors, staff , instructors, officers, agents, partners and any  representatives of  any liability, loss, or legal action associated with that coach, coaches, or instructors.

I have read and fully understand the above Permission and Liability Waiver and agree to abide by it.

Parent/guardian Signature: _______________________________________  Date: _________________________


Hoop City - 596 Baldwin (in the Soccer Zone Bldg next to Meijer) 
Jenison, MI 49428  616-957-HOOP (4667) - HoopCity2@aol.com