Clone of 2025/26 Summer School Holiday Clinics

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Athlete NameWho's getting on court with us!
First Name
Last Name
2
Athlete Gender
Male
Female
Other
Prefer not to say
3
Athlete Date of BirthNote that it is Year-Month-Day!
Date
Year
Month
Day
4
Current Age GroupIf they are playing club basketball, what age group are they in?
Please Select
Please Select
U10
U12
U14
U16
U18
My child doesn't play club basketball
5
Please outline any medical alerts below:If they are self-managed, please include that info below!
6
Parent/Guardian Name
First Name
Last Name
7
Parent/Guardian Preferred Email
example@example.com
8
Parent/Guardian Preferred Phone Number
Please enter a valid phone number.
9
Fantastic! Now, Please select which clinics you'd like to be be a part of (Scroll Down may be required):Please note that you can select multiple options. If you can only come for 1 of the two days, please let us know in the next slide! U10 Sessions are for players born 2018 and younger U12/14 Sessions are for players born 2013-2017
Camp #1: October 1st & 2nd (Busselton) - U10 Session
Camp #1: October 1st & 2nd (Busselton) - U12/U14 Session
Camp #2: October 5th & 6th (Margaret River) - U10 Session
Camp #2: October 5th & 6th (Margaret River) - U12/U14 Session
Camp #3: October 10th & 11th (Dunsborough) - U10 Session
Camp #3: October 10th & 11th (Dunsborough) - U12/14 Session
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If you can only make it for 1 out of the 2 days, please specify which day you ARE available! If not, press next.Your registration fee will be adjusted.
October 1st
October 2nd
October 5th
October 6th
October 10th
October 11th
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Do you consent to the potential creation and publication of media that may include images/videos containing my child:You do not have to select yes
YESNO
12
How would you prefer to pay?
Cash (Our Preference)
Online with Card
Direct Bank Transfer
Other
13
Finally, if you are referring a friend to receive 10% off, please provide the athlete or parent name below:
First Name
Last Name
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I acknowledge that if any injury occurs during on-court activities and there are no grounds of negligence, that damages are NOT covered by player injury insurance and therefore costs cannot be covered by BGR.Be Game Ready is protected by Section 5H of the Civil Liability Act 2002.
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