Open Gym
Sign up for a FREE training with Heart & Soul Hoops
Player Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Country Code- Area Code- Phone Number
Date of Birth (dd/mm/yyyy)
*
School
*
Playing Level
*
Beginner
Intermediate
Advanced
Gender
*
Male
Female
Select Your Open Gym Session(s):
*
Monday (29 May) Blacktown Leisure Centre @ 4:30 pm - 6:00pm
Friday (26 May) Redfield College @ 5:30 pm - 7:30 pm
Do you play for CLUB, SCHOOL or REPS?
*
Yes
No
If "Yes", please list your Club/School/Reps team(s)
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
Country Code- Area Code- Phone Number
For COVID-safety, players over 16 years must be vaccinated. Are you vaccinated?
*
Yes
No
Select Your Training Goal(s)
*
Get in shape
Build skills & fundamentals
Get a routine
Challenge & motivation
Select Your Playing Goal(s)
*
Get playing time
Get recruited
Find a team
Build confidence & decision making
Score points
How did you hear about us?
Please Select
Friend Referred Me
My Basketball Club
My School
Heart & Soul Hoops
International Sports Camps
Other
Did a Coach refer you? If yes, please select your Coach's name below:
Please Select
Coach Alex
Coach Jared
Coach Peggy
Any allergies or injuries
*
Submit
Should be Empty: