5
THSM HoopDeeDoo 2013 Registration Student Informaon: First Name Last Name Cell Phone # __________________________________ __________________________________ __________________________________ Age Grade Gender Email If Visitor, Friend of: _________ _________ _______ ___________________________________ ___________________________ Parent Informaon: Parent Name Contact Phone # Parent Email __________________________________ ___________________________ _________________________________________ Payment: _____Cash _____Check (#_________) _____Online THSM HoopDeeDoo 2013 Registration Student Informaon: First Name Last Name Cell Phone # __________________________________ __________________________________ __________________________________ Age Grade Gender Email If Visitor, Friend of: _________ _________ _______ ___________________________________ ___________________________ Parent Informaon: Parent Name Contact Phone # Parent Email __________________________________ ___________________________ _________________________________________ Payment: _____Cash _____Check (#_________) _____Online
