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Hoop Academy Summer 2023 Camp Registration
To Fully Register for camp please:
1) Complete the form below
2) Return signed Waiver via email
3) Send deposit/payment
$100 deposit required for each registered session.
VENMO: @HOOPACADEMYBASKETBALL
ZELLE:
HOOPACADEMYBASKETBALL@GMAIL.COM
or Checks can be mailed to Hoop Academy, LLC., 95 Hobart Ave, Rutherford, NJ 07070
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* Indicates required question
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Session 1: 6/26 - 6/30
Register
Session 2: 7/10 - 7/14
Register
Session 3: 7/31 - 8/4
Register
Session 4: 8/7 - 8/11
Register
Session 5: 8/21 - 8/25
Register
Session 6: 8/28 - 9/1
Register
Parent/Guardian First & Last Name
*
Your answer
Parent/Guardian Contact Phone Number
*
### - ### - ####
Your answer
Parent/Guardian Alternate Contact Phone Number
*
### - ### - ####
Your answer
Parent/Guardian email address
*
Please check spelling is correct
Your answer
Current Grade Level
*
Choose
K
1
2
3
4
5
6
7
8
9
Home Street Address
*
Your answer
City, State Zip Code
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's School Name, Town
*
Your answer
Waiver & Release Form
: Download, complete and email back
Email completed form back to
hoopacademybasketball@gmail.com
To complete registration send Payment to:
VENMO: @HOOPACADEMYBASKETBALL
ZELLE: HOOPACADEMYBASKETBALL@GMAIL.COM
or Checks can be mailed to Hoop Academy, LLC.,
95 Hobart Ave, Rutherford, NJ 07070
*Reference Campers name in payment
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