Hoop Show FREE Youth Basketball Class form

Parent Name*

First NameLast Name

Parent Email Address*

Parent Phone Number*

Please enter a valid phone number.

Child Name*

First NameLast Name

Child Date of Birth*

Date

What Class Will You Be Attending?*

Mondays 4 pm: (Boys & Girls) Ages 5 to 9 (Orange)Mondays 5pm : (Boys & Girls) Ages 10 - 14 (Orange)Mondays 4pm: (Boys & Girls) Ages 5 - 14 (Riverside)Wednesdays 4pm: (Boys & Girls) Ages 5 - 14 (Garden Grove)Wednesday 4pm: (Boys & Girls) 5-14 (Anaheim)

When will you be coming in?*

Date

How did you hear about us?*

If a coach referred you, which coach was it?