Term 3 2023 - 3x3 Prep Program

Term 3 2023 - 3x3 Prep Program

This program is the introductory program for children in Years 4, 5 and 6 to an alternative yet complimenatry way to play Basketball. It is designed to create the BEST pathway to develop as an all-around player whilst involved in a high energy and fast paced environment. Active Kids Vouchers can be used for this program. Please ensure you enter your Active Kids Voucher Number in the relevant section of this form. Please complete a separate form for each child
Child's Name

First NameLast Name
Child's Date of Birth*

DayMonthYear
Date
Residential Location*

Street Name

Suburb

CityState / Province

Postcode
Parent Full Name*
Parent Mobile Number*

CodeNumber
Parent Email*
example@example.com
Have you attended Development Classes before?*

YesNo - new player
School Name*
Program Details

Please select the Wednesday Class for Registration . Class will run from 4:40-5:20pm at Norths (Crows Nest). Program will start Wednesday 19th of July and will conclude Wednesday 21st of September. If you have any issues with registration, please contact Laurie at development@nsba.com.au. Price includes Credit Card Transaction Fee.
3x3 Pilot Program Day [SELECT ONE]*
Medical Conditions

Please answer the following questions as it will help us keep your child safe.
Does your child have any relevant medical conditions or learning impairments (e.g. Asthma, Anaphylaxis)?*
Does your child require any medications or adjustment factors?
Please attach your action plan so we can adequately support your child's condition.

Browse Files

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Active Kids Vouchers

Do you want to use any Active Kids Voucher for our programs? Please see below.
Active Kids Vouchers must be submitted at this time of registration and will need to be verified by Norths before participation is confirmed. Any error in the Active Kids Voucher details will delay participation in our programs; so please check your voucher details are correct before submitting.
Use an Active Kids Voucher?*

YesNo
AKV Number
Please enter ACTIVE KIDS VOUCHER number
Hoops Pack

Norths Basketball has introduced Hoops Packs for all Development athletes involved in our programs. This will include a Norths reversible singlet, backsack & basketball. Please select appropriate size for singlet. There is an option to purchase the whole pack or the singlet only.
What would you like to purchase?*

Hoops Pack (Singlet, Backsack & Basketball) - $45Singlet - $35I Already Have A Hoops Pack - $0
Singlet Size*

After-School Term 3, 2023

AUDAfter School 3x3 Program T3

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

After-School Term 3,2023 Payment Due
Thank you for registering in our Development Classes!

Please click the SUBMIT button now.
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Term 3 2023 - 3x3 Prep Program

Program Details

Medical Conditions

Active Kids Vouchers

Hoops Pack