REGISTRATION FORM - Sections in Red are Mandatory
 

Applicant Detail's
First Name Surname
D.O.B. Age Group
Gender Do you play Rep Ball?
Please list your friends and who you would like to play with.
Friends Requested
Uniform #
Email
School
Contact One Details
Relationship Other
Name Profession
Phone (H) Phone (M)
Phone (W)    
Address
Email
Contact Two Details
Relationship Other
Name Profession
Phone (H) Phone (M)
Phone (W)    
Address

Medical
Are there any conditions you should make the club aware about?

Details
Do you consent to medical treatment in an emergency?
 
McKinnon Basketball Association - Terms and Conditions
 
I have read and understood the above Terms and Conditions.
 
Brighton Wolves - Terms and Conditions
I have read and understood the above Terms and Conditions.
I am above 18 years of age. If not please have your parents fill in this form.
I agree to volunteer my services for roles such as game scoring, time keeping, team management, fund raising or any other similar roles that benefit my children’s club. (These duties will be evenly shared out between all parents and helpers)
No I won’t be able to assist but have enclosed a donation of $ to assist with the running of the club and providing such duties.

You are about to register with the Brighton Wolves Basketball Club.

If you would like to make any comments please do so here.

Make sure you read and accept the Terms and Conditions above and you are above 18 years of age..