REBELS DEVELOPMENT PATHWAY PROGRAM REGISTRATION

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You are invited to join our new Rebels Development Pathways program.

This 6-month program will see you receive intensive training by our highly skilled Coaches and the opportunity to play in our Pathways squad in some development games. See our flyer for program details: https://drive.google.com/file/d/1sTAx84NnA-CbjGhmWjcqtEu146_QxFNQ/view?usp=sharing

Registrations for this program are open until 5pm Friday 28th January. Please submit one form for each athlete.

Important information on Fees is below:

REBELS DEVELOPMENT PATHWAY PROGRAM FEES:
- $350 per person which includes a Rebels Training Shirt

Note: No family discounts apply to the Rebels Development Pathway program

PAYMENT DATES:

Our preference would be that all participants pay the fee in full by the 4th February 2022. However, we understand that some families might prefer to pay in instalments which can be arranged via invoice on the following dates:

• 4th February 2022 - Commitment Payment $175 (Non-Refundable)
• 18th February 2022 - $175 Final Instalment

Note: Active Kids Vouchers can be used towards the fees.

Tell us about you:

Participants First Name *

Participants Last Name *

Participants Date of Birth *

YYYY

Email *

Phone number *

Address *

Alternative Emergency contact - Name and Number *

Please select you age group *

Under 12 Women

Under 12 Men

Under 14 Women

Under 14 Men

Under 16 Women

Under 16 Men

Under 18 Women

Under 18 Men

Required

Please select your shirt size for your Training Singlet - Sizes listed are Adult Unisex Size: *

3XS

2XS

2XL

3XL

Acceptance of the Rebels Program conditions:

Acceptance of Player Code of Conduct - The player agrees to abide by Central Coast Basketballs Player Code of Conduct - review the following link: https://bistadium.com.au/policies-procedures/ *

Yes

No (please note that you will be unable to participate in the Rebels program)

Acceptance of fees - If accepting a position in the team, you agree to the following Rebels club fees. Fees are listed at the top of this form. *

Yes

No (please note that you will be unable to participate in the Rebels program)

Acceptance of Spectators Code of Conduct - If accepting the position, your spectators agree to abide by Central Coast Basketballs Spectator Code of Conduct. Review the following link: https://bistadium.com.au/policies-procedures/ *

Yes

No (please note that you will be unable to participate in the Rebels program)

I confirm I accept this position *

Yes

No thank you

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