Registration

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Registration Form

First name*

Last name*

Phone*

Email*

Address

Address Line 2

City

State - Zip Code

Parent / Guardian Name*

Student Birthday

Month

Day

Year

Age*

Does your child currently play sports?

Yes

No

Would you like information about our scholarship options?

Yes

No

What program are you interested?*

Academic Development

Career Development

Basketball Development

Basketball Elite

Please briefly describe your goals for joining the program.

School Name

Do you have Health Issues?

Yes

No

Please list any of the following: Current medications, medication allergies, food allergies, or chronic health concerns:

I (we) are the parent(s) or legal guardian(s) of the youth participant listed above and grant my (our) permission for him/her to participate fully in H.O.O.P. Foundation, Inc. activities and events.

In consideration for permitting my child to enroll and participate in the activities provided by HO.O.P. Foundation Inc. I, _____, being 18 years old, do for myself and on behalf of my child, _______, agree as follows:

Report card

Birth Certificate

Call us: 1-844-HOOPINC (466-7462)

1201 N. La Brea Ave. Suite #33

Inglewood, CA 90302

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