Register Now!
HoopKidz Registration Form

Fill out Registration Form, Click Submit Form, then follow the link on the resulting page to pay your HoopKidz Session Registration on-line

* Required fields
Name *
E-mail Address *
Grade *
Age and Date Of Birth
Address *
Parent(s) Name
Home Phone *
Work Phone *
Cell/Wireless
School Child Attends
Secondary Emergency Contact *
Are you a HoopKidz Family/Past Participant?
Physician and Phone
Medical Insurance Information
Location Of Registration *

I have read and agree to the Privacy Policy *

Spam prevention


Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:


Liability Waiver: As a registrant/participant in HoopKidz Instructional Basketball and it's Summer Camps, you are agreeing that your child is in good physical condition and has your permission to participate in HoopKidz programs. HoopKidz and any person associated with it assumes no responsibility and will not be liable for any accidents resulting in medical/dental or other related expenses.