Hoop Show FREE Youth Basketball Class form

Parent Name*
Parent Email Address*
Child Name*
Parent Phone Number*
Please enter a valid phone number.
Child Date of Birth*

MonthDayYear
Date
What Class Will You Be Attending?*

Mondays 4 pm: (Boys & Girls) Ages 4 to 9 (Orange Only)Mondays 5pm : (Boys & Girls) Ages 10 - 14 (Orange Only)Wednesday 7pm: (Boys & Girls) Ages 4 to 14 (Garden Grove Only)
When will you be coming in?*

MonthDayYear
Date
How did you hear about us?*

FriendGoogleSocial MediaCoachOther
If a coach referred you, which coach was it?
Should be Empty: