Hoop City - Player Registration


For Future Dunker____ Biddy Basketball____ Clinic____ League House Team____


NOTE:  I would like to be placed on the same team with ____________________________.

____________________________________________________They will register separately.

We will do our best to put you in touch with a coach in need of players.  We are always looking for good coaches to help after teams are formed. There is no guarantee that you be placed on a team before the league or tournament starts.

Players Name________________________Date Of Birth_______________Grade________

Address__________________________City________________State________Zip________

Phone_________________E-mail__________________________Male_____Female______

Height__________T-Shirt Size___________School _________________________________

Moms Name: _________________________ Dads Name: ___________________________

PAYMENT Information: Payment of  the player must be done at the time it is mailed in or by attaching your credit card information below. There is a  $ 3.00 charge per transaction added for credit card processing. Your payment will not be process until the player is placed on a team.

Amount_______  Cash___  Check___  Check No._______  M/O___  M/C____ Visa____

Credit Card No._______________________________________Expiration Date_________     

Name on Card________________________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 in    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:______________________