2025 HSH+ Mentorship Form

HSH+ Mentorship Rego Form

Join the HSH+ Mentorship Program (5 March - 27 June 2025).
Player Name*

First NameLast Name
Phone Number*
Country Code- Area Code- Phone Number
Email*
example@example.com
Date of Birth (dd/mm/yyyy)*
School*
Gender*

MaleFemale
Playing Level:*

BeginnerIntermediateAdvanced
Are you a Club/Reps player?*

YesNo
If "Yes", please list your Club/School/Reps team(s)
Preferred Training Venue*

Bernie Mullane Sports ComplexHills Basketball Stadium
Select Preferred Training Day(s)*

Tuesday @ 7:00 am - 8:00 amThursday @ 7:00 am - 8:00 am
Select Your Mentorship Package Type
Emergency Contact Name*

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
Select Your Training Goal(s):*

Build Skills & FundamentalsChallenge & MotivationGet a RoutineGet in shape
Select Your Playing Goal(s):*

Get playing timeScore pointsGet recruitedBuild confidence
How did you hear about us?
Comment or Message*
Marketing Permissions

EmailDirect MailCustomized Online Advertising
Should be Empty:

HSH+ Mentorship Rego Form