Casey Cavaliers 2020/21 Registration Form
Sign in to Google to save your progress. Learn more
Email *
Athlete First & Last Name *
Athlete Gender *
Athlete D.O.B *
MM
/
DD
/
YYYY
Street Number & Street Name *
Suburb *
Postcode *
Primary Guardian #1 Name *
Primary Guardian #1 Preferred Contact Number *
Primary Guardian #1 Email (This will be used for Team App Registration) *
Primary Guardian #2 Name (optional)
Primary Guardian #2 Preferred Contact Number (optional)
Primary Guardian #2 Email (optional)
Team Selected In (This will be your Team App access group) *
Jersey Number - If a new member enter 00 *
Medical Notes - Please let enter any notes that you have on your child
I agree to make the Casey Cavaliers program my primary sporting commitment and will not miss any Cavalier commitments for other sports. Missing Cavalier commitments for any other reason must be communicated. (Attendance is considered in the following years selection.) *
I have read and accept the 'Parent Handbook' found on the Casey Basketball website *
I have read and accept the "CBA Terms & Conditions" found on the Casey Basketball website *
Payment Option - Payments can be made via credit card at the stadium during domestic competitions, by phone during business hours or via direct transfer to CBA’s bank account.By selecting option 2 or 3 you agree to sign up to Westpac PayWay (a link will be sent to you), whereby a registration to either a bank account or credit card will be given to automatically have the funds above taken on payments due in 2021. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms