Spring Team

Spring Team

Please fill in the form below.
Player's Name*

First NameLast Name
Parent's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Emergency Cell*

Area CodePhone Number
E-mail*
Gender*
D/O/B*

MonthDayYear
Date
Current Grade*
School*
New Player $675
Uniform Size
Returning Player $625
Uniform Number (returning players only)
Player Fee*

$15 Tryout fee (non-refundable)$595 (New player)$545 (Returning player with Angels uniform)
Player Fee (must select two)*

$10 Tryout fee (non-refundable)$545 (Returning player with Angels uniform)$595 (New player)
Payment*

Cash/Check (payable to Hoop Heaven Georgia and mail to 78 Ridge Road, Canton, GA 30114)Credit card ($20 processing fee - you will receive an invoice to pay online)HS TEAM ONLY - $225
Liability, Waiver, Release, Limitation of Damages

I hereby authorize the agents of Hoop Heaven Georgia to act for me accordingly to his/her best judgment in any emergency requiring medical attention. I hereby release, discharge and indemnify Hoop Heaven Georgia, Tiara Simpkins, Lyndon Academy, The Shooter's Nest, Northeast Cobb League affiliated entities and their officers, agents and employees from and against any and all liability or causes of actions arising out of or in connection with my child’s participation in any Hoop Heaven Georgia program, league, tournament, and our attendance at on-site and off-site premises. I give Hoop Heaven Georgia permission to use my child’s photo and/or video in promotional materials.
Date*

MonthDayYear
Date
Should be Empty: