Basketball Moe - WINTER 2024 Junior Team Registration
This form is used to register a team to our Summer 2023/24 Junior Domestic competition at Basketball Moe Inc.
Your Teams Details
Please provide the following information about your team:
Team Contact Email
*
Please nominate a main contact email for your team. An entry confirmation will be sent to this email when the submission is complete.
Team Name
*
Provide your teams name.
Gender
*
Boys
Girls
Grade
*
Please Select
Under 8's (2017, 2018, 2019)
Under 10's (2015, 2016)
Under 12's (2013, 2014)
C Grade (Under 14's - 2011, 2012)
B Grade (Under 16's, 2009, 2010)
A Grade (Under 18's, 2007, 2008)
Choose the appropriate grade for your team.
UNIFORMS
Please note that ALL NEW teams must seek committee approval for their uniform colours. Requests are to be made in writing via email to juniors@basketballmoe.com.au Any existing teams who wish to change their uniforms MUST also seek committee approval.
Uniform Colour
*
The colour of your teams tops.
Shorts Colours
*
The colour of your teams shorts.
PLEASE INCLUDE A DETAILED REASON FOR ANY GAME / FIXTURE REQEUSTS
The association will not entertain requests of a vague nature, or for particular timeslots because it is deemed 'too late' or inconvenient for teams. We ask that you only submit requests for valid reasons, such as players competing in the Victorian Junior Basketball League, (not their siblings) or to avoid clashes where a coach is involved with multiple teams for example. Due to the sheer volume of teams entered and availability of game time slots and referees, requests will be considered but not guaranteed.
Game Requests
Please outline any requests you may have. All requests must be accompanied by a detailed reason.
About your Team Staff
Please provide the following information about your team staff
Team Staff Details
*
Full Name
Phone Number
Email Address
WWCC Number
WWCC Expiry
Coach
Assistant Coach
Team Manager
Working with Children Check
As part of your role as a team manager and coach within a team participating in our junior domestic competition you are required to abide by the Basketball Victoria Member Protection By-laws. This includes compliance with the Working with Children Act 2005 which applies to people (both paid and volunteer) participating in child-related work. You must scan and send a copy of your valid Working With Children Check card to juniors@basketballmoe.com.au If this information is not provided, you will be unable to participate in your role as a team coach / team manager.
Acknowledgement of Working With Children Check requirements
*
I acknowledge that a copy of the Working With Children Check card for all listed team staff must be provided to the association.
I acknowledge that all coaches & team managers must register to the team with the registration link that will be provided to us
About your Players
Please provide the following information about your teams players:
Player Details
*
Full Legal Name
Date of Birth
Parent Contact Name
Parent Contact Phone Number
1
2
3
4
5
6
7
8
9
10
Are you willing to be contacted by the association should we have extra players who could potentially join your team? There is LOTS of kids out there waiting to join a team so if you have room for even 1 extra player please let us know.
*
Yes
No
Happy to discuss
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