Hoop Academy Columbus Day Camp Application Form  10.10.22
Please fill out the Application form below to register your child for camp.  A Camp director will email you once they have received  1) signed Waiver/Release form. 2) Payment of $65.00  Venmo:  @BasketballUnlimited or Mail to:  Basketball Unlimited, LLC  55 Marginal Road, Rutherford, NJ 07070 
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 Download, Sign and Return Waiver & Release Form
This Waiver & Release form must be signed & returned via email to hoopacademybasketball@gmail.com 

Child's Last Name *
Child's First Name *
Current Grade Level *
Parent/Guardian First & Last Name *
Parent/Guardian Contact Phone Number   *
Parent/Guardian Alternate Phone Number *
Street Address *
City, State Zip Code *
Child's Date of Birth  *
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School Name *
Parent/Guardian email address  *
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