Howie Acres Community presents: Hooping For Health

Hooping for Health 2022- Registration Form Contact: Fred (704)264-4705
Athlete Information
Age
SHIRT SIZE
Player's name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE*

Area CodePhone Number
E-mail*
Basketball Player

$10 per player (use PayPal.Me/Howie Acres)
I would like to play on the same team with the following players.
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Do you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo
Please describe*
Vendors use link below to donate.

PayPal.Me/Howie Acres
Confirmation E-mail*
EACH PLAYER REGISTERED WILL RECEIVE A SAFETY WAIVER AFTER COMPLETED REGISTRATION AND FULL PAYMENT. After completing this form, please click Submit Form. 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 Fred at (704)264-4705
Signature*

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HOWIE ACRES COMMUNITY EVENT

HOOPING FOR HEALTH
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HOWIE ACRES COMMUNITY EVENT