Registration

Please register below. Be sure to register early! 

ATTENTION: Organizers of this event cannot be held liable for injury. By joining the competition, you take full responsibility should you be injured as a contestant.

ATTENTION HIGH SCHOOL AND COLLEGE ATHLETES: Prizes may be considered to be of cash value. If you are a high school or college athlete or plan to play, it is recommended that you do not accept any prizes considered to be of cash value.

 

 

Primary Registrant
Please complete the fields below. All required fields are indicated with an asterisk *.
General Information
[?]
Minimum combination of 6 letters and numbers.
[?]
Minimum combination of 6 letters, numbers and special characters.
Choose your Registration Level
Fee: $0.00

Can't join us for the event but still want to support Hoops for a Cure? You can register as a Virtual Dunk and then add your donation in the (optional) Additional Donation section below. (No Shirt is provided but is available for purchase)


Fee: $5.00

Purchase 1 Raffle ticket for our PC Raffle - MSI G Series GT70 2OD-039US Dragon Edition 2 Gaming Laptop


Fee: $25.00

Purchase 5 Raffle tickets for our PC Raffle - MSI G Series GT70 2OD-039US Dragon Edition 2 Gaming Laptop


Fee: $50.00

Purchase 10 Raffle ticket for our PC Raffle - MSI G Series GT70 2OD-039US Dragon Edition 2 Gaming Laptop


Fee: $100.00

Purchase 20 Raffle ticket for our PC Raffle - MSI G Series GT70 2OD-039US Dragon Edition 2 Gaming Laptop


Fee: $40.00

6 Month membership to Gold's Gym in Mooresville - Membership Certificate will be mailed to address completed with the payment. For Mooresville, NC Area Residents. Not for current members or if you have had a membership in the past 12 months. N set up fees. Can be cancelled within the 6 mos with no commitment. After that, membership goes month-to-month.

Additional Items for Purchase (please select your Participation Shirt above)
Items selected here are in addition to items included as part of your selected registration level.
x
Cost: $15.00
Youth Small Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Youth Medium Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Adult Small Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Adult Medium Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Adult Large Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Adult XX-Large Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Youth Large Participation Shirt (For Sale - Mailed)

x
Cost: $15.00
Adult X-Large Participation Shirt (For Sale)
Additional Donation
Amount:
Waiver WAIVER
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