Winter Hoops Registration.

Hopewell Basketball Association

Click on the Visa and Master Card Icon Below to registure and pay by Credit Card.

HBA Anniversary Special 2010

Winter 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

□ Winter Hoops Anniversary Discount $100.00
□ Winter Hoops Late Fee 10/1/10 $130
□ Winter Hoops Late Fee 11/20/10 $150

□ 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 score book

Regular fees will start on 10/01/10.
Late fee of $20 will be applied after November 20th, 2010. Refunds after August 26th, 2010 will be minus $35 for administrative fees. No refunds will be given back after August 26th, 2010, 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, submit completed registration form with payment and sent it to Hopewell Basketball PO Box 613 Pennington NJ 08534