JHoops Registration

Child's Name

Please choose the week your child will attend.

S4: February 18 - March 1
S5: March 4 - March 15
S6: March 18 - April 5

MEMBER PAYMENT: Please select an option (If you have a valid membership)

$65 Weekly $120 Full Session $324 All Sessions Discount

GUEST PAYMENT: Please select an option.

$80 Weekly $150 Full Session $396 All Sessions Discount

Parent/Guardian #1: Name

Parent/Guardian #1: Relation to Child

Parent/Guardian #1: Cell Phone

Parent/Guardian #1: Email

Parent/Guardian #2: Name

Parent/Guardian #2: Relation to Child

Parent/Guardian #2: Cell Phone

Parent/Guardian #2: Email

Emergency Contact #1: Name

Emergency Contact #1: Relation to Child

Emergency Contact #2: Name

Emergency Contact #2: Relation to Child

Authorized to Pick Up

NOT Authorized to Pick Up

Medical Concerns & Allergies

Please view our Program Waiver by clicking here.

By signing my name below, I acknowledge that I have read and understand the PROGRAM WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT.

Address

City

State

Zip

Card Owners Name

Card Number

Card Type

CVV

Expiration Date