KUBS Basketball Club Membership Application Form
Welcome
Please fill out the form below and hit the "Submit" button at the bottom. This applies to existing members also as it will inform us of any changes to email addresses and phone numbers. (These will only be used for club notifications.)
First Name *
Your answer
Last Name *
Your answer
Male or Female? *
Date of birth *
00/00/0000
Your answer
Address *
Your answer
Parent or Guardian *
Your answer
Home Phone Number
Your answer
Mobile Number (Parent / Guardian) *
Your answer
Email Address
Your answer
Basketball Experience if any.
Your answer
Any medical condition the club should be aware of? *
Enter none if this doesn't apply.
Your answer
Consent and Declaration *
I agree to abide by the rules of the club and to follow the coaches and officials directions. I also agree to exhibit care for the safety of my fellow club members. I consent to allow team and game photographs to be taken and used on the official team website. KUBS Basketball Club does not accept any responsibility for any loss or damage to personal property. The club would also like to point out that although we are covered for public and personal injury, we are not covered under any dental plan. We recommend the wearing of good gum shields at all times
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