New Customer Registration Form

Cairns Basketball Inc - Club Transfer Application

Please complete the Club Transfer Application if you are intending to play for another Cairns Basketball Inc. club immediately following the most recent CBI Junior Basketball Season.
Player Applicant Details:
Full Name*

First NameLast Name
Parent Phone Number*
Parent E-mail
example@example.com
Date Of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current CBI Junior Club*

All StarsNorthern Beaches HeatPhoenixRedlynchTimberwolves
Age Group And Division*
Reason For Transfer*
Destination CBI Junior Club*

All StarsNorthern Beaches HeatPhoenixRedlynchTimberwolves
Should be Empty: