Southside Rockets Trial Booking Form
You can book in for as many trials as you wish (between 1 and all 4)
£2 per trial (no refunds available)
First come first served, place only confirmed when proof of payment has been received
Southside Rockets Basketball Club
Account Number: 34026260
Sort Code: 30-90-90

Saturday 22nd May at Woodlands School, Basildon
U12 Boys/Girls 12pm-1pm – U14 Boys 1pm-2pm
U16 Boys 2pm-3pm – U18 Boys 3pm-4pm
Senior Men 4pm-6pm

Wednesday 26th May at St Thomas More, Southend
Outdoor triple court facility U12 Boys/Girls; U14 Boys;
U16 Boys; U18 Boys; ABL Academy; Senior Men
All trials 5pm-6pm

Friday 28th May at St Thomas More, Southend
Outdoor triple court facility U12 Boys/Girls; U14 Boys;
U16 Boys; U18 Boys; ABL Academy; Senior Men
All trials 5pm-6pm

Saturday 29th May at Woodlands School, Basildon
U12 Boys/Girls 12pm-1pm – U14 Boys 1pm-2pm
U16 Boys 2pm-3pm – U18 Boys 3pm-4pm
Senior Men 4pm-6pm
Sign in to Google to save your progress. Learn more
Surname *
First Name *
Email address (must be parental if player is under 18). *
Emergency Contact Name & Mobile Number *
School *
School Year *
Which age group are you in? *
Which trial date/s would you like to book for? Please note, you may only attend the trial for your age group. *
Required
IMPORTANT: Check this box to confirm that you have sent proof of payment (a screenshot or image of the screen) to admin@southsiderockets.com. Please note, we cannot confirm your trial booking until we have received this. Southside Rockets Basketball Club Account Number: 34026260 Sort Code: 30-90-90 *
You must use the space below to declare, for the player named on this form, any medical conditions, allergies and general health conditions that may be affected by participating in sport. *
Please check this box to confirm your agreement to the following: a. The club cannot be held responsible for any injuries sustained whilst playing basketball. b. I give permission for a member of the club to practice first aid initial response/injury attention where appropriate. c. The club cannot be held responsible for any injury or incident sustained at the training venue before a coach has arrived. The players should not be performing any physical activity prior to the coach arriving. d. I consent to images and videos being taken of the named player for performance analysis purposes and/or for club promotion on our website, Instagram, Facebook, Twitter and/or in publications. e. I am responsible for safe transit to the venue. f. I have declared in full the named player's medical conditions, allergies and any general health conditions that may be affected by participating in sport. *
Please sign below to confirm that you have booked the correct trial days, emailed proof of BACS payment and accept that no refunds are available. We will respond via email confirming your place, receipt of payment, details for 'on the day' and a list of F.A.Q's.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy