NBH - Signups

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.

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