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Basketball Registration
*
Indicates required field
Child 1
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
If you order the wrong size, you will be responsible to pay for a replacement shirt
School
*
Child 2
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
School
*
Child 3
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
School
*
Child 4
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
School
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Coaching/Volunteer
*
Coach
Assistant Coach
Team Parent
Referee
Score/Time Keeper
Please indicate if you would like to be a coach, assistant coach, or a sponsor
Please list any physical, learning, or emotional challenges or limitations and/or medications the coaches need to know about.
*
Please list any physical, learning, or emotional challenges or limitations and / or medications the coaches need to know about.
Coach/Assistant Coach T-shirt Size
*
Please indicate t-shirt size if you are planning to be a coach
Sponsorship ($200.00)
*
Yes
Sponsor Name and Contact Info
*
Please provide the name and contact information of the company/person who wishes to be a sponsor. Fee is $125.00
Primary Contact
*
Relationship
*
Phone Number
*
Email
*
Secondary Contact
*
Relationship
*
Phone Number
*
Email
*
Consent for Participation
I, the parent/ guardian of the registrant, a minor, agree that the registrant and I will abide by the rules/ guidelines of the HCC it’s affiliated organizations and sponsors. I recognize the possibility of physical injury
or illness from exposure to any bacteria, fungus, virus, unknown contagious diseases or COVID-19
associated with the indoor soccer program and in consideration for the HCC accepting the registrant for its programs and activities, I hereby release, discharge and or otherwise indemnify the HCC, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of facilities utilized for the program against any claims by or on behalf of the registrant as a result of the registrant’s participation in the program and or being transported to or from the same, which transportation I here-by authorize.
Further permission must be granted by the HCC for the registrant without insurance coverage to participate.
Signature / Name
*
Consent for Minor Medical Treatment
As a parent or legal guardian of the above participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry . This care may be given under whatever conditions are necessary to preserve the health and safety of the participant.
Signature / Name
*
Date
*
Medical Insurance
*
Choose one
Yes
No
Doctors Name
*
Phone
*
(Participation will not be denied based on whether or not participant is insured)
Photo/Video Consent
I/We grant permission for my child to have his/her photo/video taken and published on the HCC Programs public internet site or any other type of media.
Please note that games will be live streamed and choosing not to allow video consent will prohibit your child/ren's participation.
Photo/Video Consent
*
Choose one
Yes
No
Communications
We would like to know how you currently learn about HCC programs and events and how we might improve our communications with you.
How did you hear about basketball registration?
*
How would you PREFER to learn about registrations and events? (Website, newspaper, Facebook, email, other ideas)
*
Please note our refund policy available on our website at https://www.huntcommunitycenter.org/programs.html
Submit
Home
About Us
Facilities
>
Rental Information
Board of Directors
History
Programs
Basketball
Camp HCC
Education Programs
Fall Soccer
Gymnastics
Indoor Soccer
Pickleball
Play Day
Roller Skating
Swimming - Summer
Swimming - Winter
T-Ball
Track and Field
Uptown Playground
Donations
Volunteers
PA Clearances
Craft Fair
Scholarship Program
Rental Information
Gymnastics