Metro Social Basketball League | Player Expression of Interest
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Gender Identity
*
Please Select
Male
Female
Non-Binary/Gender Fluid
Different Identity
Prefer Not to Say
Preferred Competition
*
Please Select
Mixed
Men's
Women's
Preferred Venue
*
Please Select
Marion
Mitchell Park
Morphett Vale
Port Adelaide
Springbank
The Lights
State Basketball Centre (Wayville)
Preferred Venue
*
Please Select
Morphett Vale
State Basketball Centre (Wayville)
Preferred Venue
*
Please Select
Springbank
State Basketball Centre (Wayville)
Preferred Day
*
Please Select
Tuesday
Preferred Day
*
Please Select
Monday
Preferred Day
*
Please Select
Monday
Wednesday
Preferred Day
*
Please Select
Wednesday
Preferred Day
*
Please Select
Wednesday
Preferred Day
*
Please Select
Monday
Wednesday
Thursday
Preferred Day
*
Please Select
Tuesday
Preferred Day
*
Please Select
Monday
Tuesday
Preferred Day
*
Please Select
Sunday
Preferred Day
*
Please Select
Thursday
Additional Information
Do you give permission for the Competitions Department to forward your details to potential teams?
*
Yes
No
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