Hewitt Foundation 3v3 HOOPFEST

Player basketball skill level

	1	2	3	4	5

1 is Beginer, 5 is Advanced

Player height
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Cell Phone

Area CodePhone Number
Parent/Guardian E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact & Health Insurance Information
Emergency Contact's Name

First NameLast Name
Relationship
Emergency Contact Phone Number

Area CodePhone Number
Does player have health insurance?
Does player have any allergies, chronic illness, or medical conditions that would limit high level activtiy?
If yes, please describe
Release of Liability

Although the safety of all sport activities is the primary concern, outdoor sport activities at Grant Park facilities may cause injuries and/or death. I, as parent/guardian, understand that particpation in this event does not include the cost of insurance. I, as the parent/guardian, expressly assume the risk of injury, death, and/or illness arising from any cause for the player, and agree to waive the right to pursue any claim against the Hewitt Foundation, Grant Park, City of Newberry and the persons in charge.
I have read and agree to the above conditions
Parent/Guardian Confirmation E-mail
Parent/Guardian Signature
After completing this form, please click "Submit" below. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at hewittfoundation@gmail.com.
Should be Empty: