Registration | HOOPINC

CITY STARS NATIONAL AAU BASKETBALL & MENTORSHIP PROGRAM

2026-2027 Participant Registration

Registration Fee: $160.00

Monthly Fee: $300.00

Program Includes:

● Basketball training twice per week

● AAU player development

● Mentorship and leadership training

● Academic support opportunities

● Community service activities

SECTION 1: PARTICIPANT INFORMATION

First name

Last name

Birthday

Month

Day

Year

Age

Multi-line address

Country/Region

Address

City

Zip / Postal code

Multi choice

Male

Female

Prefer not to say

School Name

SECTION 2: PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

Relation to Participant

Phone

Secondary Phone

Email

Emergency Contact Name

Phone

SECTION 3: MEDICAL INFORMATION

Does the participant have any allergies, injuries, medical conditions, or health concerns?

Yes

No

If Yes, Please Explain

Is the participant currently taking medication?

Yes

No

If Yes, Please note Medications (Medications cannot be given to any child by anyone employed by City Stars/HOOP Foundation)

SECTION 4: ACADEMIC SUPPORT

Would your child benefit from academic support or tutoring assistance?

Yes

No

If Yes, please describe the academic support requested. Examples: ● Homework assistance ● Reading support ● Math tutoring ● Study skills ● College preparation

Current Academic Strengths

Academic Areas Needing Improvement

SECTION 5: PROGRAM OUTREACH

If Other, Please Explain

SECTION 6: SPECIAL NEEDS

Please list any special accommodations, behavioral concerns, dietary restrictions, learning needs, or other information that would help us support your child

SECTION 7: FUNDRAISER COMMITMENT

MANDATORY FUNDRAISERS

To help cover tournament fees, travel expenses, uniforms, equipment, and program costs, all participants are required to participate in the following fundraisers:

Car Wash Fundraiser

$100

Pancake Breakfast Fundraiser

$100

Popcorn Fundraiser

$500

Parent Commitment Selection

I will participate in all required fundraisers

I choose to pay the fundraising buyout fees instead of participating.

Fundraising Incentive: The participant with the highest fundraising sales total will receive ONE of the following prizes:

City Stars Backpack

City Stars Uniform & Gear Package

SECTION 8: PAYMENT AGREEMENT

Program Fee Acknowledgment

I understand the monthly program fee is $150.00 and is due each month to maintain my child's participation.

Attendance Commitment

I understand my child is expected to attend two training sessions per week and maintain positive conduct.

Fundraiser Acknowledgment

I understand fundraiser participation is mandatory unless I choose the approved fundraiser buyout option

: SECTION 9: LIABILITY WAIVER & CONSENT

Parent/Guardian Consent Statement

I certify that the information provided is accurate and complete. I authorize my child to participate in the City Stars National AAU Basketball & Mentorship Program activities. I understand that participation in sports carries inherent risks, and I release City Stars, its coaches, volunteers, and affiliates from liability for injuries that may occur during normal participation.

Single choice

I have read and agree to the terms above

SECTION 10: ELECTRONIC SIGNATURE

Parent/Guardian Full Name (Electronic Signature)

Date

Month

Day

Year

Signature

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Thank you for registering for the City Stars National AAU Basketball & Mentorship Program!