2021 Term 4, Year 5&6 Southland Shooters Registration Form
Sign in to Google to save your progress. Learn more
YEARS 5 & 6
What?  Purpose of Shooters is to show young players and coaches how to enjoy basketball and allow them to learn skills and activities that they can do in their own time. It is an opportunity to instill key values and skills in players early so as when they reach their school teams and our representative program they have a great base to build from.

Who? Years 5 & 6

When? Term 3, Wednesdays 4-5pm

Dates: Updated dates now in term 4: 21/10, 28/10, 4/11 and 11/11

Where? ILT Southland Stadium, Courts 1&2

How much? $55 with singlet / $30 without

SBA Bank Account 03-1750-0494294-00 - When making the payment can you please put your Child's name in the "Reference" field and "Shooters" in the "Code" field.

If you have any questions please contact Leyton Haddleton via email in the first instance: leyton@basketballsouthland.co.nz
CHILD'S INFORMATION
Full Name *
Date of Birth
Age *
Gender *
School Year *
School *
Health Information
Please list any medication your child requires and any allergies, illnesses or special needs your child has. If staff are required to administer medication please list here and send details to the SBA office. If it requires some explaining please come in on a day prior to the programme to explain the procedure to our staff.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms