Player Name *

First & Last Name

First Name

Last Name

Player Date of Birth *

MM

DD

YYYY

Player Gender *

Male

Parent Name *

First & Last Name

First Name

Last Name

Parent Cell Phone *

(###)

###

####

Emergency Contact Name *

First & Last Name

First Name

Last Name

Emergency Contact Cell Phone *

(###)

###

####

Confirm Team Commitment *

By checking this box, you agree that your player is committed to playing on the Hoop Code National Team for the upcoming season. This includes all practices, training, and games as much as reasonably possible for your player's availability. Player attendance will be promptly communicated with Hoop Code Staff to ensure maximum participation. PLEASE NOTE: National Team Roster spots are exclusive; your commitment secures a limited opportunity. This commitment is received in good faith that all parties will abide in the agreed terms.

Confirm