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

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                                            Hopewell Basketball Association
                                                         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 
□  Register  12/20/11 to 2/29/12  $140  Register online and save$5    □  Mail in $145 

□  Register 3/01/12 TO 3/21/12 $160  Register online and save$5        □ Mail in $165

□  Register 3/22/12 TO 4/01/12 $170  Register online and save$5      □ Mail in $175

□ Register 4/2/12 TO 4/10/12  Late Fee $185  Register online save $10  □ Mail in $195

 After 4/01/12 a late fee of $20 will be assessed

□ 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

Late fee of $20 will be applied after4/01/12.  All  Refunds will be minus a $35 administrtive fee.   No refunds after 3/15/12  will be given without a doctor’s note.

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