Panthers Summer 24/25 Registration Form

Angaston Panthers Basketball Club Registration Form Summer 24/25
Players Name*

First NameLast Name
Birth Date*

DayMonthYear
Gender
Parent/Guardians Name

First NameLast Name
E-mail*
example@example.com
Phone Number

Area CodePhone Number
Have you played for Angaston Panthers Basketball Club previously?
If no, please advise where you played previously and what division
Please add any extra information the club should be aware of.
Have you played for another Barossa Assoc club in the last 12 months?
If yes, please advise which club.
PLEASE NOTE - if you have played for another club, you MUST complete a clearance form from the other club before you pay for your registration with the Panthers
Additional Information
Please add any extra information the club should be aware of.
Should be Empty:

Angaston Panthers Basketball Club Registration Form Summer 24/25