Hoop It Up Basketball Clinic | Lynchburg, VA

Am I already registered? SIGN IN

Hoop It Up Basketball Clinic Registration Form

The form is loading.

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Female

Male

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Please select your County *

How did you hear about us? *

Who is authorized to pick up your child from the Clinic? (please list all below) *

Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

Do you want to be added to our mailing list for updates on upcoming events?

Payment Details

Discount or Tracking Code

Apply

Do not COPY & PASTE the code, please type it into this field.

Price

Discount (-)

Processing

Total Owed

I agree to the RaceReach Terms of Service and Privacy Policy

Need Help? Stand alone HTTPS page