Name: ______________________________________
Grade: ________ Birthdate: __________
Home Address: __________________________________
City: ________________ State: ____ Zip Code: ___________
Phone #'s: ________________________________________________
Email: ____________________________________________________
Jersey Size: _________ Height: _________ Weight: ___________ Position: ___________
GPA: _______ SAT: _______ High School: ___________________________
School City & State: ______________________
HS Coach: _______________________
Coach's Phone: ________________________________
Please mail registration form along with check made out to: Hoop Mountain PA to: Hoop Mountain PA, c/o Daryn Freedman, 547 Burkes Drive, Coraopolis, PA 15108