Premier Pick-Up Registration Form

Premier Pick-up Registration Form

We are launching Premium Pick-up games in 2025. For players, teams and coaches. Register now >>
Player Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Country Code - Area Code- Phone Number
Date of Birth (DD/MM/YY)
Gender*

MaleFemale
Are you trying out for an invitational camp or travel team?*

YesNo
Player Level*
Select your preferred playing time(s) in Term 3 2025

Saturday 2:00 pm - 4:00 pm @ Northholm Grammar (HILLS DISTRICT)Saturday 6:00 pm - 7:00 pm @ Balgowlah Boys High School (NORTHERN BEACHES)Sunday 12:00 pm - 2:00 pm @ Balgowlah Boys High School (NORTHERN BEACHES)
School/Club
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Country Code - Area Code- Phone Number
For COVID-safety, players over 16 years must be vaccinated. Are you vaccinated?*

YesNo
How did you hear about us?*
Did a Coach refer you? If yes, please select your Coach's name below:*
Any injuries, medical conditions, allergies, etc.
Should be Empty:

Premier Pick-up Registration Form