Waverley Basketball Association - Walkover Notification

1
Please complete the following form to notify of any walkovers. This is the only accepted form of notification.

Walkovers notified with over 24 hours notice from start of scheduled game time will be charged at $80

Walkovers notified with less than 24 hours from start of scheduled game time will be charged at $110

Walkovers given with no notification provided will be charged at $160.

Amount owing will be strictly based upon submission time of this form.
2
Name of Person Completing Form* This field is required.
First Name
Last Name
3
Contact Email* This field is required.
example@example.com
4
Are you the registered team representative?* This field is required.
Yes
No
5
Team Representative Name
First Name
Last Name
6
Team Representative Email
example@example.com
7
Team Name* This field is required.
8
Competition* This field is required.Sunday U23 is classed as Senior Domestic
Senior Domestic
Junior Domestic
9
Senior Game Date + Time* This field is required.
Date
Day
Month
Year
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
PM
AM
PM
10
Junior Game Date + Time* This field is required.
Date
Year
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
PM
AM
PM
11
Junior Game Information* This field is required.
U8
U10
U12
U14
U16
U18
Age Group
Boys
Girls
Gender
Division 1
Division 2
Division 3
Division 4
Division 5
Division 6
Division 7
Division 8
Division
12
Venue* This field is required.Please scroll to see all available venues
Waverley Basketball Stadium
Oakleigh Recreation Centre
Ashburton Pool and Recreation Centre
13
Court* This field is required.
Court 1
Court 2
Court 3
Court 4
Court 5
Court 6
14
Opposition Club* This field is required.
Ashburton Basketball
Bayside Warriors
Central City Breakers
Caulfield Malvern Piranhas
Waverley Comets
Frogs Basketball
Solways Basketball
Malvern Tigers Basketball
Glen Iris District Scorpions
Maccabi
Timberwolves Basketball
Homenetmen Ajax
Korowa Basketball
Toorak Basketball
15
Please review your responses carefully, any incorrect information may result in the walkover being deemed as unnotified.
16
Please verify that you are human* This field is required.
Should be Empty: