Player name *

First Name

Last Name

Players date of birth *

MM

DD

YYYY

Player Male or Female? *

Male

Female

Is your child new to Basketball? *

Yes

No

Were you in a Boomers team last season?

Yes

No

Does your child play Representative Basketball

Yes

No

Does your child attend Ballam Park Primary School?

Yes

No

Is the Parent/Guardian interested in coaching?

Yes

No

Is the Parent/Guardian interested in managing a team?

Yes

No

Does your child require a uniform? *

Yes

No

Please enter todays date *

MM

DD

YYYY

Do you give consent for your child to be photographed?

Yes

I have read the member information sheet and give consent for my child to play in the specified Basketball Competition. By choosing 'Yes' I acknowledge that I am abiding by the 'terms and conditions' and the 'codes of conduct' of the Ballam Park Boomers Basketball Club. If Yes!.. Welcome to the Club!! We are the best family club in town! *

Yes