Term 1, 2018 - Little Legends

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Athlete 1 Details Parent/Guardian Details
Username Password
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If you do not have a username and password, one will be created for you when you submit this form.
Athlete First Name: Mother's Name:
Athlete Last Name: Mother's Email Address:
Date of Birth: Mother's Mobile/Cell:
Gender: Male Female Father's Name:
Email Address: Father's Email Address:
Confirm Email Address: Father's Mobile/Cell:
Home Phone: Do you have any injury concerns?
Mobile/Cell:
Address 1:
Address 2: Do you have any medical conditions?
Suburb/Town:
State/Prov:
Zip/Postcode:
Sport (if applicable):

Training Dates: From 30-Jan-2018 To 31-Mar-2018

Training Days & Times:
Once a time slot is full you will be asked to make another choice.

Time Tue Fri Sat Sun
7:30 am
Legends League (6-11) Saturday 7:30am
AUCHENFLOWER
$109
11:30 am
Little Legends (7-11) Saturday 11:30am
ARANA HILLS
$109
FULL
4:00 pm
Little Legends (7-11) Friday 4:00pm
AUCHENFLOWER
$109
4:30 pm
Little Legends (7-11) Sundays 4:30pm
BARDON
$109
FULL
4:45 pm
Little Legends (7-11) Tuesday 4:45pm
AUCHENFLOWER
$109
5:00 pm
Little Legends (7-11) Tuesday 5:00pm
YERONGA
$109

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Brisbane Basketball Incorporated coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Brisbane Basketball Incorporated, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.

I agree (Parent/Guardian):
Date: 22-Feb-2018
There are no refunds for any enrolments into Brisbane Basketball Incorporated related programs. When you sign/tick confirmation for this enrolment you are acknowledging that you know this as a fact and have accepted it as a condition.
Payment Method:
Total Cost: $0.00
Promo Code:
Credit Card: Credit Card (Ezidebit)

Mini-Hoops Singlets - Term #1, 2018

* What size singlet would you like?

Size 4
Size 6
Size 8
Size 10
Size 12
Size 14
Size 16
  
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