SQJBC Player Trial Registration
One Registration per Player
ATHLETE DETAILS
Athletes Name
*
First Name
Last Name
DOB
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Gender
*
Female
Male
Age group you are trialing for?
*
U12
U14
U16
U18
U21
Do you currently play for IBA
*
Yes
No
Which affiliated Club do you play for?
*
Brothers Basketball
Central Bulldogs
Easts Basketball
IGS - Ipswich Grammar School
Mt Crosby Basketball
Ripley Valley Thunder
Springfield Brumbies
Swifts Comets
Seniors
Transferring from another association
If you are wanting to play representative Basketball for Ipswich, you will be required to have a full transfer to IBA PRIOR to trials. Please provide details of the last representative association you played for so IBA can submit a player transfer.
*
PARENT / GUARDIAN INFORMATION
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Contact
*
Representative Trial Payment
*
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SQJBC Representative Trial Registration
$
30.50
AUD
Credit Card
Additional Information/What to Bring
Reversible Singlet / Basketball (if you have one) / Water bottle / Basketball-Appropriate Attire
Submit
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