Hiram 9th Grade JV Basketball HS Registration Parent / Guardian InformationParent / Guardian Name:* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Player #1 InformationPlayer #1 Name* First Last Payment Center Player #1 Please note that there is a PayPal processing fee included with each payment(s). Registration and Payment is due by December 6, 2023. You have the option to make payment in full or 3 separate installments: Full Payment $475.00 Paid Now Deposit of $100.00 Due Now Partial 2nd Payment of $200.00 paid by November 22, 2023 Final Payment of $175.00 paid by December 6, 2023 After filling out your registration information and choosing your payment option, by clicking Submit, you will be taken to a secure PayPal payment page where you can either pay using your PayPal account or you credit/debit card. Once your payment is completed, you will need to click on the link that says Go Back to Hiram HS BasketballPlease choose the payment option for Player#1 registration:* Full Payment $475.00 Paid Now Deposit of $100.00 Due Now Partial 2nd Payment of $200.00 paid by November 22, 2023 Final Payment of $175.00 paid by December 6, 2023 Full Payment $475.00 Paid Now* Price: Deposit of $100.00 Due Now* Price: Partial 2nd Payment of $200.00 paid by November 22, 2023* Price: Final Payment of $175.00 paid by December 6, 2023* Price: Total $0.00
