Coomera City Warriors Pre-Registration Form
NOTE - Completing this form alone DOES NOT register you for the upcoming season. Once you submit this pre-registration form you will receive an email with the BasketballConnect link to register online and pay fees.
Parent Full Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Mobile Number
*
Please enter a valid phone number.
I would be interested in volunteering in the following capacities...
Coach
Assistant Coach
Team Manager
Player Name 1
*
First Name
Last Name
Player 1 Date of Birth
*
-
Day
-
Month
Year
Date
Player 1 Gender
*
Male
Female
Last game played - Player 1
*
My last Seahawks junior domestic game was for this club that I am registering to
My last Seahawks junior domestic game was for another club
I have never played in the Seahawks junior domestic competition
Previous Club - Player 1
*
Please Select
AB Paterson College
Coombabah Clippers
Coomera Anglican College
Coomera City Warriors
Coomera Cougars
Gold Coast Wildcats
Helensvale Hurricanes
King's Christian College
Pimpama Pelicans
SSC Chargers
Tamborine Mountain Wolves
Playing Singlet - Player 1
*
I already own a singlet that I intend to use for the upcoming season
I will need to order a new singlet for the upcoming season
Existing Singlet Number - Player 1
*
Please list the number of your existing singlet
I want to pre-register a 2nd child
*
Yes
No
Player Name 2
*
First Name
Last Name
Player 2 Date of Birth
*
-
Day
-
Month
Year
Date
Player 2 Gender
*
Male
Female
Last game played - Player 2
*
My last Seahawks junior domestic game was for this club that I am registering to
My last Seahawks junior domestic game was for another club
I have never played in the Seahawks junior domestic competition
Previous Club - Player 2
*
Please Select
AB Paterson College
Coombabah Clippers
Coomera Anglican College
Coomera City Warriors
Coomera Cougars
Gold Coast Wildcats
Helensvale Hurricanes
King's Christian College
Pimpama Pelicans
SSC Chargers
Tamborine Mountain Wolves
Playing Singlet - Player 2
*
I already own a singlet that I intend to use for the upcoming season
I will need to order a new singlet for the upcoming season
Existing Singlet Number - Player 2
*
Please list the number of your existing singlet
I want to pre-register a 3rd child
*
Yes
No
Player Name 3
*
First Name
Last Name
Player 3 Date of Birth
*
-
Day
-
Month
Year
Date
Player 3 Gender
*
Male
Female
Last game played - Player 3
*
My last Seahawks junior domestic game was for this club that I am registering to
My last Seahawks junior domestic game was for another club
I have never played in the Seahawks junior domestic competition
Previous Club - Player 3
*
Please Select
AB Paterson College
Coombabah Clippers
Coomera Anglican College
Coomera City Warriors
Coomera Cougars
Gold Coast Wildcats
Helensvale Hurricanes
King's Christian College
Pimpama Pelicans
SSC Chargers
Tamborine Mountain Wolves
Playing Singlet - Player 3
*
I already own a singlet that I intend to use for the upcoming season
I will need to order a new singlet for the upcoming season
Existing Singlet Number - Player 3
*
Please list the number of your existing singlet
I want to pre-register a 4th child
*
Yes
No
Player Name 4
*
First Name
Last Name
Player 4 Date of Birth
*
-
Day
-
Month
Year
Date
Player 4 Gender
*
Male
Female
Last game played - Player 4
*
My last Seahawks junior domestic game was for this club that I am registering to
My last Seahawks junior domestic game was for another club
I have never played in the Seahawks junior domestic competition
Previous Club - Player 4
*
Please Select
AB Paterson College
Coombabah Clippers
Coomera Anglican College
Coomera City Warriors
Coomera Cougars
Gold Coast Wildcats
Helensvale Hurricanes
King's Christian College
Pimpama Pelicans
SSC Chargers
Tamborine Mountain Wolves
Playing Singlet - Player 4
*
I already own a singlet that I intend to use for the upcoming season
I will need to order a new singlet for the upcoming season
Existing Singlet Number - Player 4
*
Please list the number of your existing singlet
IMPORTANT - PLEASE READ
Upon submitting this Pre-Registration Form you will be emailed a confirmation that will include a link to complete online registration and pay fees. Only once that registration is complete will your child/children be registered for the upcoming season.
*
I understand
Submit
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