Albany Basketball Association

Albany Basketball Association

Request To Play Up / Fill In Form
Player Name*

First NameLast Name
Parent / Guardian Name if under the age of 18.

First NameLast Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Do you currently play for a Club? (Sonics, Barking Owls, Kinjarling, Great Southern Griffins, Infernos, Railway Tigers, Bethel.)*

YesNo
I understand, I can't fill in for another Club without permission.*

YesNo
Division you CURRENTLY play:

I'm Filling InYr 2Yr 3Yr 4Yr 5Yr 6Yr 7/8Yr 9/10Yr 11/12Womens B GradeMens B GradeWomens A GradeMens A GradeVets
Team / Club, Name you currently play for.
Club and Team name.
Division you are REQUESTING to play for:*

Yr 2Yr 3Yr 4Yr 5Yr 6Yr 7/8Yr 9/10Yr 11/12Womens B GradeMens B GradeWomens A GradeMens A GradeVets
Team / Club Name you requesting to play for. *
Club and Team name.
I agree I will add myself to the scoring iPad - ensuring all details entered are correct. Incorrect or misleading information may result in team forfeit. If I'm unsure how to do this I will ask assistance from a Games Controller.*

YesNo
I understand I must report to the Games Controllers office 30 mins prior to the commencement of the scheduled game.*

YesNo
I agree and understand I must be in correct uniform to take to the court. I also agree if under 18 years of age I will wear a mouthguard.*

YesNo
Emergency Contact Details for Fill-In Players.

First NameLast Name
Phone Number
Please enter a valid phone number.
Should be Empty: