Click on the Credit Cards above or below to registure online

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 8/28/17 to 9/30/17 Online $175.           Mail in $10 more = $185

□ Winter Hoops 10/1/17to 10/31/17 Online $195.       Mail in $10 more = $205

□ Winter  Hoops 11/1/17 to 11/09/17 online $225.       Mail in $10 more = $235
There is NO Guarantee that you will be placed on a team before first game Noovember  7th.

□ 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 November 1, 2017. All Refunds will be minus $35 for administrative fees. No refunds will be given back after October  15, 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