2025 CBBA WINTER LEAGUE INDIVIDUAL PLAYER EXPRESSION OF INTEREST
This form is for players looking to join a team for the 2025 CBBA Winter League. By submitting this form, you give permission for CBBA to share your information with club and team managers. For more information on the 2025 Winter League, please visit https://blacktownbasketball.com
Contact Name
*
First Name
Last Name
Player Name
*
First Name
Last Name
Player Date of Birth
*
-
Month
-
Day
Year
Date
Select the competition (KBS = Kevin Betts Stadium, Mt Druitt / BLCS = Blacktown Leisure Centre, Stanhope, CLLC = Charlie Lowles Leisure Centre, Emerton)
*
Please Select
JUNIORS U10 MIXED KBS
JUNIORS U10 MIXED BLCS
JUNIORS U12 MIXED BLCS
JUNIORS U12 MIXED CLLCE DIV 1
JUNIORS U12 MIXED CLLCE DIV 2
JUNIORS U14 BOYS BLCS
JUNIORS U14 BOYS KBS DIV 1
JUNIORS U14 BOYS KBS DIV 2
JUNIORS U14 BOYS KBS DIV 3
JUNIORS U14 GIRLS KBS
JUNIORS U14 GIRLS BLCS
JUNIORS U16 BOYS KBS DIV 1
JUNIORS U16 BOYS KBS DIV 2
JUNIORS U16 BOYS KBS DIV 3
JUNIORS U16 BOYS BLCS
JUNIORS U16 GIRLS BLCS
JUNIORS U18 GIRLS BLCS
JUNIORS U18 BOYS KBS DIV 1
JUNIORS U18 BOYS KBS DIV 2
JUNIORS U18 BOYS KBS DIV 3
SENIOR MEN'S BLCS DIV 1
SENIOR MEN'S BLCS DIV 2
SENIOR MEN'S BLCS DIV 3
SENIOR MEN'S BLCS DIV 4
SENIOR WOMEN'S BLCS DIV 1
SENIOR WOMEN'S BLCS DIV 2
SENIOR WOMEN'S BLCS DIV 3
Player Gender
*
Female
Male
Other
Contact Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Were you a representative player in 2024
*
Yes
No
Are you interested in becoming a referee
*
Yes
No
I am already a qualified referee
Would you be interested in creating a team of individual players looking to play in the 2024
*
Yes
No
How did you hear about our competition
*
Google
Facebook
Instagram
TikTok
Website
Word of Mouth
Other
If you are aware of our clubs and have a preference of which club to play for, please detail below (https://www.blacktownbasketball.com/our-clubs).
D.N.A Basketball
Elevate Basketball Australia
Embers Basketball
Infinity Warriors
Joflow Basketball
Lions Basketball Academy
Phenoms Basketball Academy
Pitbulls Basketball
Rivals Basketball
Royals Basketball
Savannah Pride
Sydney Dragons
Sydney Huskies
Tip-Off Basketball
If you know other players that you would like to be teamed up with, please provide their full name below.
Any additional comments?
Submit
Should be Empty: