Hoops 4 Health 1st/2nd Grade Registration

Please fill out the form below to register your child for Hoops 4 Health for the 1st/2nd Grade Section

Child's Name*
First Last
Child's Grade*
Homeroom Teacher (CHOOSE TBD IF UNKNOWN)
Level*
Parent Name*
First Last
Parent Email*
Parent Cell Phone*
2nd Parent Name
First Last
Fill out only if they want to receive communications.
2nd Parent Email
2nd Parent Cell Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
H4H 1st/2nd Registration Fee*
Price:
Amount has been reduced by one week.
Total
$0.00
Other Comments
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Footer