"ELEVATE YOUR GAME: Level Up"
Auckland Central Cougars Basketball Club is proud to bring to you a fun, challenging, and intensive basketball training holiday program for our young teenage athletes. Through this program, we will work on advance individual skills and techniques that will continue to strengthen your foundation of what makes a well-rounded basketball player. And for existing club members this is an excellent extension of our Saturday club advance training program.

The holiday program is open to members and non members of Auckland Central Cougars Basketball Club.

WHO: Ages 12 to 15

WHEN: October 10th and October 11th - 9:00 AM to 3:00 PM

WHERE: Unitec Sports Centre, Gate 3, Carrington Rd., Mount Albert

BRING: Sport Shoes, Training Gear, Morning Tea & Lunch

*** LIMITED SPOTS AVAILABLE // FIRST COME, FIRST SERVE ***

Email address *
Enrollee
First Name *
Your answer
Middle
Your answer
Surname *
Your answer
Date of Birth (DD/MM/YYYY) *
Your answer
Gender *
What school do you attend? *
Your answer
Do you have any allergies and/or medical conditions that our coach(es) should be made aware of? *
If "Yes" to the above question, please advise.
Your answer
Address
Address 1 *
Your answer
Address 2
Your answer
Suburb *
Your answer
City *
Your answer
Postal *
Your answer
Parent / Legal Guardian
First Name, Surname *
Your answer
Phone Number *
Your answer
Email *
Your answer
Emergency Contact
Check the below box if same as "Parent / Legal Guardian" *
Required
First Name, Surname
Your answer
Phone Number
Your answer
Email
Your answer
Program Options
Select one: *
Are you a current member of Auckland Central Cougars Basketball Club? *
If you answered "No" to the above question, how did you hear about our holiday program?
Acknowledgement
I confirm the information given in this form is true, complete, and accurate. *
Required
How to pay
Online bank transfer only to ASB (12-3427-0058352-04)

Please use your surname and "EYGLU" as your bank reference. A receipt will be emailed to you upon receipt of payment.

Payment plan options
A $25.00 minimal payment is required when registering. Remainder to be paid on (or before) October 5, 2018 by 12:00 PM.
Additional Information
Please note check in times is between 9:00 AM and 9:15 AM. If you plan to drop off your child after 9:15 AM, or your child will arrive on their on accord after 9:15 AM, please notify us 24 hours in advance.

All participants that are scheduled to be picked up by their parent / legal guardian should be by 3:00 PM; no exceptions.

A copy of your responses will be emailed to the address you provided.
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