Any item with the * is a REQUIRED FIELD and must be filled out.
* Name: * Address:
* Sex: * City, State, Zip Code:
* Date of Birth: * email address:
* Age: School (optional):
* Grade:

* PROGRAM TITLE
* Dates: for Clinics/Camps
* Times: for Clinics/Camps

* League Participants `
If coming in as part of a team please enter the team name below.
Team Name:
REQUIRED FOR MINORS
Parent/Guardian Name(s):
Home Phone Number:
Day Time Phone Number:
Parent email:
Emergency Contact:
Relationship:
Phone Number:
Comments or Requests:
Volunteer to Coach:
I hereby authorize the staff of Nothing But Hoops (NBH) to act in my place, according to their best judgment in case of any emergency or situation requiring medical attention. I understand that my participation or my child’s participation in athletic activities carries with it risk, and I hereby waive and release the staff of Nothing But Hoops(NBH) and any organization affiliated with the organizations from any and all liabilities incurred by myself or my child during and/or as a result of his or her participation in any of all NBH programs. I also understand that NBH retains the right to use photographs of participants for our website. In addition, I understand that any participant who does not abide by the rules and regulations of NBH may be subject to dismissal without reimbursement.
Agree with Waiver Disagree with Waiver
YES. I would like to join the NBH mailing list and receive all the latest information on upcoming leagues and camps.