Clone of Winter Basketball Camp Registration Form

2026 Spring Basketball Camp Registration Form
Student Information
Student's Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Year Level
Gender
Does the student have any allergies or medical conditions? If yes, please describe.
Parent/Guardian Information
Name

First NameLast Name
Email
example@example.com
Mobile Number
Format: 0000 000 000.
Payment Information
Which days will your child be attending?
Please transfer payment to:

Account name: Pacific Basketball

BSB: 067873

Account no: 13798473

Description: Student's name
Should be Empty:

2026 Spring Basketball Camp Registration Form