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Liverpool Basketball Club Registration 23/24
Where the player being registered is under 18 years of age this form must be completed by a parent or guardian.
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* Indicates required question
Players full name
*
Your answer
Players date of birth (if under 18)
MM
/
DD
/
YYYY
Post Code of player
*
Your answer
Ethnic Origin
*
Prefer not to say
British White (W)
Irish White (IW)
Other White (WO)
White & Black Carribean (MBC)
White Asian (MA)
Other Mixed (MO)
Asian (A)
Indian (I)
Pakistani (P)
Bangladeshi (B)
Other Asian (AO)
Black Carrribean (BC)
Black African (BA)
Other Black (OB)
Chinese (C)
Other:
Please indicate which programme the player would like to register for. NOTE National Teams are now by invitation only from the appropriate Community Session. If you want to play National League you must first register for the Community Session for that age group.
*
Mini Future Stars, Boys / Girls, aged 5 to 7 (Day/Time to be confirmed) WAITING LIST
Future Stars, Boys / Girls, aged 7 to 14 (Sat 9.15-11.15) WAITING LIST
Under 16s/18s Boys / Girls Community Session (Sat 9.00-11.00) WAITING LIST
Senior Men's Community Session (Thurs 19.00-20.00) WAITING LIST
Senior Women's Community Session (Tues Times differ between 6.30-9.00)
Your mobile number or IF PLAYER IS UNDER 18 Parent / Guardian mobile number
*
Your answer
Your email address or IF PLAYER IS UNDER 18 Parent / Guardian email address
*
Your answer
Anything we need to know about the player? (Medical conditions etc)
Your answer
Anything questions for us?
Your answer
This form has been submitted by (Must be submitted by a Parent or Guardian if Under 18)
*
The player named
The players Parent or Guardian (If under 18)
Parent / Guardian Name (If under 18)
Your answer
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