Term 2 2026 Registration Form

Term 2 2026 Registration Form
Player's Full Name

First NameLast Name
Parent/Guardian's Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Post Code
Email
Date of Birth
Age
Gender
Michael Clarke Recreation Centre, Carnes Hill
Select Appropriate Age Group
Active Kids Number
Alternatively payments can be made via bank transfer of PayID.

Bank Details

Account Name: Hoops Connect

BSB: 062 656

Account: 1042 7013

or

PayID (Registered)

Mobile: 0416811304

Name: Hoops Connect

Please Reference your childs Full Name and email payment receipt to dave@hoopsconnect.com.au
Program Registration - An enrollment will only be considered to be confirmed when: Registration will not be accepted unless all sections are marked
PLAYER REGISTRATION WAIVER AND ZERO TOLERANCE POLICY. As part of the player registration process, all parents, guardians, and spectators associated with a registered player must read and agree to the following waiver and code of conduct. ZERO TOLERANCE POLICY. We are committed to providing a safe, respectful, and enjoyable environment for all players, coaches, referees, staff, volunteers, and spectators. To ensure this, we have adopted a strict Zero Tolerance Policy for inappropriate behaviour in the stadium. By registering your child, you acknowledge and agree to the following:
Media Release and Consent
Risk Indemnity and Waiver
Bookings and Cancellations
Signature
Should be Empty: