REGISTER NOW! Program Type: Group Session Summer Hoops Sessions 1:1 Session Parent Name * First Name Last Name Email * Phone * (###) ### #### Parent Coach Volunteer * Yes No Parent Coach Volunteer Playing Experience * Jr. High School High School Jr. College College NCAA D 1,2,3 Street ball king or queen Some or all of these above None of the above N/A How did you hear about us? Child Name First Name Last Name Gender Age I have documentation to provide child's age. * Yes No Child's grade Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Child's Basketball Skill Level First Time Beginner Intermediate Expert Advance Would you like to have your child play up in an older age group? Yes No Jersey Top Size Request Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Other Jersey Bottom Size Request Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Other What number jersey do you prefer? Play with a Buddy program- enter first and last name below *Not Guaranteed First Name Last Name Thank you!