U16 & U18 (S3/4 & S5/6) - 10.00am - 12.00pm Sat

Full name of player*

First NameLast Name

School*

Year Group*

Sex*

Date of Birth*

Parent/ Guardian full name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Postcode*

Child will be collected after sessions*

YesNo

Child will be walking home unaccompanied*

YesNo

Emergency contact 2 full name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

In the event of an emergency, it is important that the person in charge of the group has the necessary information about any medical condition that could affect the treatment of your child. This information will be treated in strict confidence, and will not necessarily prejudice the inclusion of your child in the activity. It is interest of your child that full and accurate infrormation be given:

Is you child undergoing treatment by a doctor at the moment?*

YesNo

Does your child have any of the following conditions?*

If yes please give details

Any know allergies, including to medicines? If yes please give details

Please state any restrictions you wish to place on emergency treatment

If there is anything else that may affect your child's participation at these sessions please let us know here (i.e. child receives 1:1 support in school/ behavioural issues)

The player agrees to adhere to the "Moray Mavericks Players Code of Conduct" - Please see "Club Policies" section of website to view.*

Yes

All spectators, parents & carers associated with this player agree to adhere to the "Moray Mavericks Spectators, Parents & Carers Players Code of Conduct" - Please see "Club Policies" section of website to view.*

Yes

Moray Mavericks would like permission to take photographs of and/or film/video your children. These images may be published in our printed publications, website and social media (including the Sport in Moray and Active Schools Moray Facebook page).*

Yes I give permission for photographs/ film/ videoNo I do not give permission for photographs/ film/ video

To help us promote and grow basketball, please let us know hoe you found us?

In the event of an extreme emergency, where a decision must be made for the health of my child and you are unable to contact me, I give permission to sign on my behalf for any medical treatment.*

YesNo, but I will be present at all sessions my child attends

The Moray Mavericks on behalf of itself, employees and agents hereby disclaims all liability except where negligence can be proven in respect of personal injury or loss suffered by participants attending these activities.*

Yes

If you are paying for anything, please use one of the buttons below. After paying you will be brought back to this screen, please hit the "I'm not a robot" button again, and then the "submit" button at the bottom of the page.

Please verify that you are human*

My Products

First Free SessionJust booking for your first session, which is free for everyone to get a chance to come and see if Mavericks is the place for you!

£ Free

Sessions till Christmas HolidaysThis books your place and pays for the all session we are able to offer up in the next term. Sessions are term time only. If this is your first block, please also select the Registration Fee above.

£20.00

FSM Sessions till Christmas HolidaysThis books your place and pays for all sessions in the next term. This is the discounted rate for players who are eligible for Free School Meals. Sessions are term time only. If this is your first block, please also select the Registration Fee above.

£12.00

Scholarship till ChristmasThis is for players who have already applied and been accepted on the scholarship programme for this next block of sessions.

£ Free

Total

£0.00

Credit Card

Moray Mavericks Booking Form

Personal details

Medical

Further information

Booking

Credit Card