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CBBA Waitlist and Involvement Expression of Interest
Fill out this form and we'll notify you when your program registrations are open or when a support role becomes available for you.
Would you like to join a program waitlist or express interest in one of our non-playing roles?
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Join a Program Waitlist
Express Interest for non-playing roles
Both
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Contact Details
Contact Name
*
First Name
Last Name
Player Name
*
First Name
Last Name
Player Date of Birth
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-
Day
-
Month
Year
Date Picker Icon
Player Gender
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Female
Male
Other
Contact Number
*
Contact Email
*
example@example.com
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Join a Program Waitlist
Select the waitlists you would like to join:
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Aussie Hoops Term 4
October Holiday Program
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Non-Playing Role Preferences and Availability
Select the role/s you are interested in
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Referee
Aussie Hoops Coach
Assist All Hoops Coach
Local Competition Coach
Storm Representative Coach
Technical Official (Scoretable/Statisician)
Do you have a current CBBA Membership
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Yes
No - my CBBA membership has expired
No - I am a member at a different association
No - I have never held membership
Are you a qualified referee?
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Yes
No
What Referee Level do you current hold?
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Please Select
Trainee
Association Community
Association Development
Association Intermediate
Association Advanced
State Development or Higher
Are you a qualified coach?
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Yes
No
What Coach Qualification do you current hold?
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Please Select
Community Coach
Club Coach (Level 1)
Association Coach (Level 2)
Masters or higher
Are you a qualified technical official?
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Yes
No
What Technical Official Level do you current hold?
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Please Select
Level 1
Level 2
Level 3
Select your venue preferences
*
Blacktown Leisure Centre, Stanhope
Kevin Betts Stadium, Mt Druitt
Charlie Lowles Leisure Centre, Emerton
Fill out your availability
*
Morning 9am to 12pm
Afternoon 12pm to 5pm
Evening 5pm to 9pm
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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How did you hear about us?
*
Please Select one
Google or another internet search
Word of Mouth
Facebook
Instagram
TikTok
Kevin Betts Stadium
Blacktown Leisure Centre
Charlie Lowles Leisure Centre
Other
Any additional comments
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