Hearn Academy Athletics Registration
Practice Day: Fridays 3-4 pm (each session is 6 weeks long), followed by a Saturday competitive showcase.
Child #1 Name
*
First Name
Last Name
Grade
*
Please Select
K
1
2
3
4
5
Teacher
*
Child #2 Name
First Name
Last Name
Grade #2
Please Select
K
1
2
3
4
5
Teacher #2
Child #3 Name
First Name
Last Name
Grade #3
Please Select
K
1
2
3
4
5
Teacher #3
Parent/Guardian Name
*
First Name
Last Name
Additional Parent/Guardian Name
First Name
Last Name
Email #1
*
example@example.com
Email #2
*
example@example.com
Phone Number #1
*
Phone Number #2
*
Does your child need to go to after school care following practice? (Make sure it is available at your school).
*
Yes
No
Other (Please type)
Please list any health concerns, if applicable
Policy and Release Waiver
I have read and agree to the Policies, Agreements and Release of Liability. Sign below.
*
Select and reserve your spot(s) below to complete registration:
*
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Hearn Academy - Spring Basketball
Starts 3/6, 3-4pm on Fridays, (GYM - 3/6, 3/27, 4/10, 4/17, 4/24, 5/1)
$
100.00
# of children
1
2
3
4
Credit Card
Please verify that you are a real person
*
Submit
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