Term4: On3 Basketball Registration Form  2025
Please register each child for the On3 Basketball Academy run by Coach Kingi on a separate form.
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Child's first name *
Child's surname *
Date of birth *
MM
/
DD
/
YYYY
Which school does your child attend *
Does your child play basketball for a school team? *
Required
Does your child have any health challenge/s *
Do they require any medication *
Parents names *
Best contact number (and name of parent) in case of any emergency or short notice cancellation of training *
Do you give permission for Coach Kingi (or designated first aid officer) to provide or seek medical help in case of an emergency.
You will be notified of any such event at the earliest possible time and your continuing consent will be requested should the need arise.
*
Which is your preferred payment option: *
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