Registration Forms House League Registration 2021-2022 Season Step 1 of 3 33% Registration*House LeagueMailing ListPlayer's Name* First Last Gender*MaleFemaleTotal $ 0.00 CAD Guardian's Name* First Last Address* Street Address Address Line 2 City Postal Code Phone Number*E-Mail* School*Grade (Most recently attended)*Emergency Contact & Phone #*Emergency Contact & Phone # 2T-Shirt Size*Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra LargeSpecial Requests I hearby declare that I am willing to allow my child:*to participate and that I will not hold Hoops All-Star Basketball, its agents, executive, volunteers, employees or sponsors responsible for injuries incurred by my child as a result of being a participant in this event. I further understand that my child, upon registration, will be covered by a sports accident insurance policy which shall be in effect while a participant in this event.Terms & Conditions* I understand and agree with terms and conditions stated above. I give permission for my child's photo to be displayed. I would like to sponsor a child to play. Terms & Conditions* I consent to recieve future communications from Hoops AllStar Basketball Inc. Payment Method*Pay Online with Credit CardPay Later by ChequeHouseleague Fee Price: $ 65.00 CAD Total $ 0.00 CAD Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.