2019 Hoop Mania
How did you hear about this camp
*
Coach
Flyer
E-Mail
Facebook
Twitter
Instagram
Other
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Information of Person Registering (Person Filling Out this Form)
Name of person filling out this form
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Athlete's Information
School
Name
First Name
Last Name
Grade
4th
5th
6th
Medical Release
Email Status
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Payment Information
Cost: $25
I will be paying with:
Credit Card
Mailing in a Check
Hoop Mania Registration
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HM Registration Fee
$
25.00
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Make Checks Payable to:
Cross Training Football
PO Box 156
Bowmansville, NY 14026
Submit
Owes
Should be Empty: