Athelstone Basketball Club Player Registration form player registration Form

Welcome to Athelstone Basketball Club - Player Registration Form

Please fill in ALL fields required
Date of Registration*

DayMonthYear
Players Name*

First NameLast Name
Girl or Boy*
Players Date of Birth*

DayMonthYear
Primary Contact Name - Parent/ Caregiver*

First NameLast Name
Primary Contact Number - Parent/ Caregiver*
Enter either your landline or mobile number
Secondary Contact Name - Parent/ Caregiver*

First NameLast Name
Secondary Contact Number - Parent/ Caregiver*
Enter either your landline or mobile number
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Primary Contact Email Address (Parent/ Caregiver)*
Type YOUR email address - this is for Invoicing/ Team Manager/ Coach/ Coordinator contact
Existing Club Coach | Team Info

Coaches NameTeam Name
Current playing level

District/ Social/ SchoolDivision eg. 1/2/3/4
Playing ability
Membership fees - we understand cost of living, which is why our fees are the lowest:*
Playing Top Size
Jerseys are pre-numbered so providing the correct size enables our Coordinator to allocate a playing jersey for you - and saves a lot of time. Click on the image below to see the size guide.
Additional Information
Use this field to supply any additional information which may help place your child in a team, eg. Really tall for age, Wants to play with friends, etc...
Type the text*
Should be Empty:

Welcome to Athelstone Basketball Club - Player Registration Form