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St Peter's Basketball
2022 Winter Registration Form
spbasketballteams@gmail.com
https://www.facebook.com/groups/863634511075117
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* Indicates required question
Email
*
Your email
Player Surname
*
Your answer
Player First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Class
*
Choose
2M
2B
2W
3M
3B
3W
4M
4B
4W
5M
5B
5W
Have you previously played WABL or another club?
*
Yes
No
Have you played St Peter's Basketball in a previous season?
Yes
No
Clear selection
If Yes, what team did you play in?
Your answer
Is there any day you can NOT train? Note: Training days will be decided by the Coach in consultation with Basketball Committee and school.
*
Your answer
Any notes or comments? (Please note: The committee appreciates team allocation requests, they will be considered but cannot be guaranteed)
Your answer
T-shirt size. (Black shorts with no pockets to be supplied by parents for all game days).
*
Choose
4
6
8
10
12
14
16
Does your child have any medical conditions we need to be aware of?
*
Yes
No
If yes, please provide details:
Your answer
Parent 1 Name
*
Your answer
Parent 1 Phone Number
*
Your answer
Parent 1 Email Adress
*
Your answer
Parent 2 Name
*
Your answer
Parent 2 Phone Number
*
Your answer
Parent 2 Email Adress
*
Your answer
Are you interested in coaching or managing a team?
*
Coaching
Managing
Neither
Do you authorise St Peter's Basketball and the East Perth Basketball Associations to reproduce and/or publish pictures of my child and I for the promotion purposes. I understand that I will not be reimbursed in cash or in kind now or in the future.
Yes
No
Clear selection
I understand that by submitting this form I/my child agrees to:
*
abide by the Sports Code of Conduct in playing for and representing St Peter's Primary School and in our role as player/guardian.
attend, where possible, all training sessions and games as part of your commitment to the team. Note: All games are played on Saturdays
pay all registration and other fees as required by 1st April 2022. I acknowledge that failure to abide by these conditions will result in my child being unable to participate until fees are paid in full.
acknowledge that St Peter's Basketball is not responsible for any injuries or damage that may occur during training or matches.
Required
A copy of your responses will be emailed to the address you provided.
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