EXPRESSION OF INTEREST FALLONS 24/25 D-LEAGUE
By completing this form you are nominating for either the Men D-League scrimmage games Jan 4th, 18th, 25th, Feb 1st, 8th 6.00pm - 8.00pm or the Woman camps Dec 21st, Jan 4th, 18th & 25th 4:00pm - 6:00pm. EOI to be completed by the 20th December to be put into teams.
Name
*
First Name
Last Name
Gender
*
Please Select
Female
Male
Date of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Which level of the development pathway are you nominating for
*
Please Select
QSLYL Men (U21 born 2005 to 2009)
QSL Men
QSLYL Woman (U21 born 2005 to 2009)
QSL Woman
Which association did you last play at?
*
RedCity Roar
Southern Districts Spartans
Gold Coast Rollers
Ipswich Force
Logan Thunder
Moreton Bay Fire
North Gold Coast Seahawks
Northside Wizards
South West Metro Pirates
Sunshine Coast Phoenix
Toowoomba Mountaineers
USC Rip City
Brisbane Capitals
Other
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Emergency Contact Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship to Player
*
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Combine and Selection Eligibility Criteria (Please check to acknowledge):
*
I have no outstanding debts with RedCity Roar.
I agree to attend the Draft Scrimmagers on dates stated above
I understand that the cost of the D-League games will be $200 to be paid via Basketball Connect for the Men or $50 for the woman
I understand that there will be no refund of fees for players who withdraw after being drafted into a D-League team
I give permission to be photographed, filmed or interviewed for publication as part of RedCity Roar D-League Program.
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