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Click on the Credit Cards above to Registure Online
Hopewell Basketball Association and Mercer County Basketball Spring Hoops Registration Form
Please Print Below
Name___________________________________________________
Address_________________________________________________
_______________________________________________________
Phone # ____________________
Emergency phone or Cell #_________________
Email Address_________________________________________________
Age _________Grade _______Shirt Size _____Gender ___________
School _______________________________Height _____________
Parent/Guardian Name_________________________________________________
Please check box
□ Spring Hoops 2/13/17 to 3/1/17 Online $165. Mail in $10 more = $175
□ Spring Hoops 3/2/17to 3/31/17 Online $185. Mail in $10 more = $195
□ Spring Hoops 4/1/17 to 4/09/17 online $205. Mail in $10 more = $215
There is NO Guarantee that you will be placed on a team before first game April 13th.
□ I Would like to Donate to the HBA Capital Improvements Campaign $___________
See the Future Plans Page http://www.hopewellbasketball.com/166834.html
□ I would like to be head coach of a team □ I would like to be a assistant coach.
□ I would like to volunteer to run the clock. □ I would like to volunteer to do the book
Late fee of $20 can be applied after April 1, 2017. All Refunds will be minus $35 for administrative fees. No refunds will be given back after March 1st, 2017; a doctor’s note is
required
I, the adult applicant, ______________________________________________
Date_________________hereby give approval for the applicant’s participation in and any Hopewell Basketball program;I will not hold the organization and sponsors, their employees and
associated personal, including owner of fields and facilities utilized for the programs against any claim by or on behalf of the registrant as a result of the registrant ‘s participating in the
program and/or being transported to or from the same, which transportation. I give permission to the Hopewell Basketball Association to use photographs of myself and /or my child for historical
archives, educational, and promotional purposes. These materials may be used for immediate of future use. I understand that there is no remuneration and that the pictures will not be used for
commercial purpose.
To register and save some money go to www.hopewellbasketball.com and register online, or submit completed registration form with payment and sent it to Hopewell Basketball PO Box 613
Pennington NJ 08534