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Individual Training
Expression Of Interest
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1
Who's Completing This Form ?
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This field is required.
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Player
Parent/Guardian
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Player
Parent/Guardian
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2
Player Name
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First Name
Last Name
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3
Phone Number
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4
Email
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example@example.com
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5
Age
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6
School Grade
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7
School Name
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8
School Team Division
*
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Example: Churchie 7A's
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9
Club Team Name & Division
*
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Example: Vikings U/12 D1
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10
Rep Team Name & Division
*
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South West Pirates U/14 D1
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11
Basketball dreams and goals ?
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12
Keep up to date through email and SMS?
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YES
NO
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