Hoop Smarts, LLC Athletic and Academic Registration Form Child's Name: Parent's Name: Address: Home Phone: Cell Phone: Email: Birthdate: Grade: Sex: Male Female Emergency Contact Information: (Must be completed) Contact 1 Name: Address: Home Phone: Cell Phone: Contact 2 Name: Address: Home Phone: Cell Phone: How did you hear about Hoop Smarts, LLC? Service requested: Academic Consulting (Academic Tutoring) Mentor Services Athletic Consulting (Sport Skil Training)
