Coombabah Clippers Pre-Registration Form

Coombabah Clippers 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 NameLast 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...

CoachAssistant CoachTeam Manager
Player Name 1*

First NameLast Name
Player 1 Date of Birth*

DayMonthYear
Date
Player 1 Gender*

MaleFemale
Last game played - Player 1*

My last Seahawks junior domestic game was for this club that I am registering toMy last Seahawks junior domestic game was for another clubI have never played in the Seahawks junior domestic competition
Previous Club - Player 1*
Playing Singlet - Player 1*

I already own a singlet that I intend to use for the upcoming seasonI 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*

YesNo
Player Name 2*

First NameLast Name
Player 2 Date of Birth*

DayMonthYear
Date
Player 2 Gender*

MaleFemale
Last game played - Player 2*

My last Seahawks junior domestic game was for this club that I am registering toMy last Seahawks junior domestic game was for another clubI have never played in the Seahawks junior domestic competition
Previous Club - Player 2*
Playing Singlet - Player 2*

I already own a singlet that I intend to use for the upcoming seasonI 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*

YesNo
Player Name 3*

First NameLast Name
Player 3 Date of Birth*

DayMonthYear
Date
Player 3 Gender*

MaleFemale
Last game played - Player 3*

My last Seahawks junior domestic game was for this club that I am registering toMy last Seahawks junior domestic game was for another clubI have never played in the Seahawks junior domestic competition
Previous Club - Player 3*
Playing Singlet - Player 3*

I already own a singlet that I intend to use for the upcoming seasonI 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*

YesNo
Player Name 4*

First NameLast Name
Player 4 Date of Birth*

DayMonthYear
Date
Player 4 Gender*

MaleFemale
Last game played - Player 4*

My last Seahawks junior domestic game was for this club that I am registering toMy last Seahawks junior domestic game was for another clubI have never played in the Seahawks junior domestic competition
Previous Club - Player 4*
Playing Singlet - Player 4*

I already own a singlet that I intend to use for the upcoming seasonI 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
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Coombabah Clippers Pre-Registration Form

IMPORTANT - PLEASE READ