THE HOOP THERAPY SESSION Registration FORM

The Hoop Therapy Session Registration

Fill out the form to register for event
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Emergency Contact Name:

First NameLast Name
Emergency contact Phone Number:

Area CodePhone Number
Date of Event

MonthDayYear
Date
Free Agent or Team Member:
IF YOU ARE A TEAM MEMBER PLEASE PROVIDE TEAM NAME: TEAM NAME:
PLEASE NOTE THAT ONCE YOU HAVE SUBMITTED YOUR REGISTRATION PLEASE ALLOW 24HRS TO RECIEVE YOUR INVOICE FOR THE HOOP THERAPY SESSION. IF YOU HAVE NOT RECIEVED AN INVOICE WITHIN THAT TIME FRAME EMAIL US @ HIDDENGYMHOOPERSLLC@GMAIL.COM .WE WILL GET BACK WITH YOU AS SOON AS WE CAN. ONCE PAYMENT IS RECIEVED YOU WILL BE ADDED TO THE LIST OF THAT WEEKS GAMES. (WE DO HAVE LIMITED SPOTS) THANK YOU FOR ALL YOUR SUPPORT AND PATIENCE!
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The Hoop Therapy Session Registration