2020 WCBA U15, U17, U19 & U23 Representative Trials

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

*Register for our 2020 Waikato Country Basketball Association Representative Programme
*Open to all players in our region wanting to enter into representative basketball
*Teams will be selected after these trials
*These teams will be playing in Easter Tournament, Zone Day, Regional Champs and Nationals if they qualify
*Trials cost $5

Email *

Trialist First Name *

Trialist Surname

Trialist Mobile Phone Number *

Trialist Date of Birth *

YYYY

Region From *

Te Awamutu

Cambridge

Morrinsville

Matamata

Taumarunui

Tokoroa

Putaruru

Waitomo

Other

If the trialist is under 16 years old, it is compulsory to complete the following information:

Name of Parent/Caregiver

Parent Mobile Phone Number (NO landlines please)

Parent Contact Email

Trials Attending (the more trials you can attend, the better) *

U15/U17 (U17 Born 2003, 2004; U15 Born 2005, 2006) Trial - Tokoroa Sunday 2nd February 9am to 11am

U15/U17 (U17 Born 2003, 2004; U15 Born 2005, 2006) Trial - Cambridge Saturday 15th February 9am to 1pm

U15/U17 (U17 Born 2003, 2004; U15 Born 2005, 2006) Trial - Waitomo Saturday 22nd February 1pm to 5pm

U19/U23 (U19 Born 2001, 2002; U23 Born 1997, 1998, 1999, 2000) Trial - Tokoroa Sunday 2nd February 11am to 1pm

U19/U23 (U19 Born 2001, 2002; U23 Born 1997, 1998, 1999, 2000) Trial - Cambridge Saturday 15th February 9am to 1pm

U19/U23 (U19 Born 2001, 2002; U23 Born 1997, 1998, 1999, 2000) Trial - Waitomo Saturday 22nd February 1pm to 5pm

Required

I acknowledge I need to pay $5 to register for the Clinic to WCBA 03-0371-0227132-00 (reference name and age group) or cash on the day *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms