Renegades Summer Hoops Registration

Boys and Girls 3rd Grade through 10th Grade
Checks Payable to: RENEGADES, 858 Street Rd., Southampton, PA 18966
Gym Location is Renegades Kelly Bolish Gym, 2950 Turnpike Dr., Hatboro, PA 19040
Cost: $130 per player entering as an individual or $950 per team/10 players minimum/13 max to roster.
Due: Registration deadline is Wed May 28, 2024 & League begins on Monday June 17, 2024

Note: Please fill in your child’s grade & height and his/her shirt size! Games are on Mondays & Wednesdays and if necessary Fridays & Sunday nights will be added.
Please use form below to register as an individual and then pay via credit card or checks can be mailed to:
Renegades Basketball – 858 Street Rd. – Southampton, PA 18966

Player First Name

Player Last Name

Mother Email Address

Father Email Address

Gender *

Female

Male

Player BirthDate *

Player Height *

Address *

City *

State *

Zipcode *

Mom’s Cell Phone

Mom’s Name

Dad’s Cell Phone

Dad’s Name

Shirt Size

Short Size

School Grade Fall 2024 *

Player School *

Please describe player’s bball experience if new Renegades player NOT known to Mr. Flynn:

Rate Player’s basketball performance

List a few friends separated by commas, you would like on team:

If entering as a member of a team enter Coach’s Name:

If entering as a member of a team, enter Team Name:

If you are human, leave this field blank.